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目的 通过对羊膜囊中的异常带状结构的检查 ,提高对羊膜带综合征诊断鉴别诊断的能力。方法 对伴有宫内带状回声的孕妇进行超声检查。 结果 60例病例中 7例是羊膜带综合征 ,5 3例有羊膜腔内异常带状回声 ,其中羊膜外妊娠 7例 ,羊膜片 4例 ,子宫不全纵隔 2 4例 ,胎儿颈部水囊瘤 2例 ,胎儿全身水肿 11例 ,未闭合的胚外体腔 5例。 结论 羊水中的带状结构并非都是羊膜带。在检查过程中 ,要注意询问患者的病史 ,仔细分辨羊膜腔内的带状结构的特点及毗邻关系。早期在宫内观察到带状结构者 ,应严密随诊。
Objective To improve the ability of differential diagnosis of amniotic membrane syndrome by examining the abnormal ribbon structure in amniotic sac. Methods The pregnant women with intrauterine band echo were examined ultrasonographically. Results Among the 60 cases, 7 cases were with amniotic band syndrome and 53 cases had abnormal amniotic band echo. Among them, 7 cases were extrahepatic, 4 cases were amniotic membrane, 24 cases were uterine mediastinum, 2 cases, fetal systemic edema in 11 cases, 5 cases of unoccluded extraembryonic body cavity. Conclusion Amniotic fluid in the ribbon structure is not all amniotic band. In the inspection process, pay attention to ask the patient’s medical history, carefully identify the amniotic cavity of the ribbon structure and adjacent relationship. Early observation of ribbon structure in the womb, should be closely followed.