二维超声联合四维超声用于诊断胎儿唇腭裂畸形的临床观察.docVIP

精品论文 参考文献 二维超声联合四维超声用于诊断胎儿唇腭裂畸形的临床观察 陈　苑 　　四川省阆中市人民医院超声医学科　四川　阆中　６３７４００ 　　【摘要】　目的　探讨二维超声联合四维超声用于诊断胎儿唇腭裂畸形的临床观察,为降低胎儿唇腭裂畸形的发生率提供参考.方法　选取２０１１年３月至２０１４年３月在我院收治的１２２３例孕妇,采取二维超声联合四维超声检查,观察检查效果.结果　所有孕妇经过二维及四维联合超声检查后,唇裂有８例,全部为完全性唇裂,４例胎儿为左侧,１例胎儿为右侧,３例胎儿为双侧,疑合并腭裂胎儿５例.引产或者足月产后证明８例胎儿均出现唇裂,其中左侧胎儿４例,右侧胎儿１例,双侧胎儿３例,６例胎儿合并腭裂,符合率为１００％.在６例唇裂合并腭裂的胎儿中,经过二维及四维联合超声检查检出５例,１例漏诊,符合率８３．３％.在２例唇腭裂胎儿合并其他异常疾病中,其中１例合并鼻骨缺失、羊水过多,另外１例伴鼻骨缺失、胃不显示、单脐动脉.结论　对于胎儿唇腭裂畸形疾病, 二维与四维超声联合的符合率较高,漏诊率较低.在现有医疗条件下,唇裂诊断相对较容易,但唇裂合并腭裂仍然具有一定的困难,需要进一步研究. 【关键字】　二维超声;　四维超声;　唇腭裂畸形Clinicalobservationoftwodimensionalultrasoundcombinedwithfour－dimensionalultrasoundinthediagnosisoffetalcleftlipandpalate　ChenYuan　(People＇sHospitalofLangzhongCity,SichuanProvince,６３７４００)【Abstract】Objective:Toinvestigatetheclinicalobservationoftwodimensionalultrasoundcombinedwithfourdimensionalultrasoundinthediagnosisoffetalcleftlipandpalate,andtoprovideareferenceforreducingtheincidenceofcleftlipandpalate．Methods:from March２０１１toMarch２０１４inourhospital１２２３caＧsesofpregnantwomen,totaketwodimensionalultrasoundcombinedwithfour－dimensionalultrasoundexamination,observationandinspection.results．ReＧsults:allpregnantwomenaftercombinedwith２Dand４Dultrasoundexamination,cleftlipwith８cases,allcompletelycleftlip,４casesoffetalleft,１casesoffeＧtalright,３casesoffetalbilateralsuspectedwithcleftpalatein５cases．Inductionoflaborortermpregnancythat８casesoffetalcleftlip,including４casesoffetalleft,rightfetal(１case),fetalbilateralin３cases,６casesoffetalcleftpalate,inlinewiththerateof１００％．In６casesofcleftlipandcleftpalatefetus．After２Dand４Dcombinedultrasounddetectedin５cases,１casewasmissed,inlinewiththerateof８３．３％．In２casesoffetalcleftlipandpalatecombinedwithotherdisＧorders,including１casewithabsenceofthenasalbone,polyhydramnios,and１casewithabsenceofthenasalbone,stomachdoesnotdisplay,singleumbilicalarＧtery．Conclusion:inthediagnosisoffetalcleftlipandcleftpalate,thecoincidencerateoftwodimensionalandfour－dimensionalultrasoundishigher,andtherateofmisseddiagnosisislower．Intheexistingmedicalc