三维超声在胎儿产前诊断应用价值.doc

三维超声在胎儿产前诊断应用价值[摘要] 目的 探讨三维超声产前诊断胎儿畸形的临床应用价值,提高诊断的准确性。方法 对2005年4月~2008年4月应用二维超声进行产前检查的4000例、年龄22~40岁、孕15~41周、有可疑胎儿畸形者均行三维超声检查,其中发现问题的82例胎儿畸形超声影像与临床资料进行回顾性分析。结果 共发现胎儿畸形82例,其中无脑儿11例,脑积水10例,脑膜膨出3例,脊柱裂1例,前脑无裂畸形1例,十二指肠闭锁2例,肾积水8例,多囊肾2例,心脏畸形7例,唇腭裂13例,软骨发育不全2例,水囊状淋巴管瘤5例,马蹄内翻足3例,缺指畸形1例,腹裂3例,胎儿水肿综合征10例。结论 实时三维超声形象直观,可以多个切面和多方位显示畸形结构和病变部位,提供具有重要价值的胎儿畸形诊断,三维超声在产前诊断中具有重要的实用价值。 [关键词] 三维超声;胎儿畸形;产前诊断 [中图分类号] R714.43;R445.1 [中图分类号] A[文章编号] 1673-9701(2009)24-08-03 Application of Three-Dimensional Ultrasound in Antenatal Diagnosis of a Fetus HUANG YuhongLIANG YanyanLIN ZhenyiTAN Xiaohua Instrument-Testing Department,Yangjiang People?s Hospital,Guangdong 529500,China [Abstract] Objective To discuss the clinical value in the antenatal diagnosis of fetal deformity with three-dimensional ultrasound. Methods From Apr. 2005 to Apr. 2008 in the prenatal examination of 4000 cases by two-dimentional ultrasound(aged 22~40 with 15~41 pregnant weeks),we used three-dimensional ultrasoundfor the suspected pregnant women with fetal deformity and made a retrospective analysis of ultrasound imagings of 82 cases of fetal deformity. Results We found 82 cases of fetal deformity,including 11 cases of anencephalus,10 of waterhead,3 of meningocele,one of bifid spine,one of holoprosencephaly,2 of duodenal atresia,8 of uronephrosis,2 of polycystic kidney,7 of heart malformation,13 of cheilopalatognathus,2 of achondroplasty,5 of hygroma cystic,3 of equinovarus,one of ectodactylism,3 of celoschisis and 10 of Schridde syndrome. Conclusion Real-time three-dimensional ultrasound is intuitive and direct and can show abnormal structures and lesions from various angles. Therefore,three-dimensional ultrasound is of great value in the antenatal diagnosis of fetal deformity . [Key Words] Three-dimensional ultrasound;Fetal deformity;Antenatal diagnosis 我国每年约50万～60万、甚至更多的缺陷儿出生,对于家庭及国家而言是一个沉重的负担,所以提高人口素质、实现优生优育是计划生育的头等大事。随着超声技术的不断发展,尤其是三维超声立体成像技术的日趋成熟,使超声已渐成为产前诊断胎儿畸形的重要方法,为临床终止妊娠提供可靠的诊断依据,本文对经引产或分娩证