胎儿畸形的B型超声及彩色多普勒血流显像诊断.docVIP

胎儿畸形的B型超声及彩色多普勒血流显像诊断 【关键词】 畸形 胎儿畸形的B型超声及彩色多普勒血流显像诊断 (pdf) ［摘要］ 目的 探讨B型超声（B-US）及彩色多普勒血流显像（CDFI）对胎儿畸形的诊断。方法 回顾性分析8307例中晚期孕妇，B型超声及彩色多普勒血流检查、诊断胎儿畸形108例。结果 胎儿畸形发病率为1.3%。中枢神经系统畸形发病率最高，占胎儿畸形87.76%（95/108）。其中，无脑儿占首位37.04%（40/108），脑积水次之33.33%（36/108）。并且多器官畸形占28.70%（31/108）。胎儿脑积水、无脑儿合并其他器官畸形占脑积水、无脑儿总数27.63%（21/76）。结论 超声检查、方便、无创无痛，并可多次重复检查，实时观察胎儿各部位、各器官的情况。及早诊断出胎儿畸形，有助于终止妊娠。实行优生优育，并为临床诊断提供重要依据。 ［关键词］ 彩色多普勒血流显像；胎儿畸形；B型超声 　 Two-dimensional ultrasonography and color Doppler flow imaging in diagnosing fetal malformation HOU Cong-ling,HOU Cong-rui,ZHAO Cheng-ru.Jiexiu Station of Disease Control and Prevention,Shanxi 032000,China ［Abstract］ Objective To probe into the action of two dimensional ultrasonography and CDFI in diagnosing fetal malformation.Methods We reviewed and analysed 8307 cases of pregnancy over 18 weeks who underwent 2-DUS and CDFI examinations.108 cases were found to have fetal malformation.Results The incidence rate of fetal malformation was 1.3%.The incidence of malfarmation in central nervous system was the higest,87.96%（95/108）.In the 108 cases,the anencephaly was 37.04%（40/108）.Hydrocephalus was 33.33%（36/108） and the multi-organs malformation was 28.70%（31/108）.Fetal malformation hydrocephalus,the anencephaly and other organs malformation were 27.63%（21/76）.Conclusion The practice of 2-DUS and CDFI is simple without trauma and pain.All the parts and apparatuses of the fetues in the womb can constantly be observed and re-examined by 2-DUS so that fetal malformation can be diagnosed as soon as possible,but with reliable results for quick diagnosis of fetal malformations.Its clinical value is great. ［Key words］ color Doppler flow imaging;fetal malformation;two-dimensiona ultrasonography 先天性胎儿畸形种类繁多，对其做出早期诊断非常重要，目前非创伤性检查中，超声检查以其独特的优势备受临床医师的青睐。本研究的目的在于通过对胎儿畸形的回顾性总结，进一步证实B型超声及彩色多普勒血流显像对胎儿畸形的诊断价值。 1 资料与方法 1.1 一般资料 回顾性分析2000年1月～2006年6月中晚期孕妇8307例，常规胎儿整体结构的B型超声和彩色多普勒超声检查，发现胎儿畸形108例，孕妇年龄19～35岁，全部病例均经引产，足月产所证实。 1.2 使用仪器 美国GE公司LOGIQ-400 PRO B/W型彩色超声诊断仪，探头频率3.5MH