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目的:探讨规范超声产前检查对胎儿肢体畸形的诊断价值。方法:回顾性分析我院自2010年12月~2012年12月妇产科16630例孕妇进行筛查,参考本院胎儿超声规范进行,筛查主要分为4个阶段:Ⅰ阶段:11~14周;Ⅱ阶段:18~24周;Ⅲ阶段:25~32周;Ⅳ阶段:33~足月分娩,常规检查肢体第Ⅱ、Ⅲ阶段作为重要阶段,采用连续顺序追踪超声法(SCSA)对胎儿四肢进行诊断,观察胎儿肢体结构、形态、姿势与运动情况。结果:共检出肢体异常80例,胎儿肢体畸形9种(前臂缺失6例,手缺失8例,桡骨缺失5例,四肢短小畸形9例,双侧股骨不等长7例,肢体姿势异常11例,足内翻21例,多(或)并指(趾)10例,下肢小腿缺损3例),所有患儿均在引产后证实。结论:规范产前超声检查能够准确诊断胎儿肢体畸形,是胎儿质量控制体系的重要组成部分,
Objective: To investigate the diagnostic value of standardized ultrasound prenatal examination on fetal limb deformity. Methods: A retrospective analysis of our hospital from December 2010 to December 2012 obstetrics and gynecology 16630 pregnant women screening, refer to our hospital fetal ultrasound standards, the screening is divided into four stages: stage Ⅰ: 11 ~ 14 Stage Ⅱ: 18 to 24 weeks; Stage Ⅲ: 25 to 32 weeks; Stage Ⅳ: 33 to full-term delivery, routine examination of limbs Ⅱ and Ⅲ stages as an important stage, continuous sequential ultrasound (SCSA) Limbs for diagnosis, observation of fetal limb structure, shape, posture and movement. Results: There were 80 cases of limb abnormalities and 9 cases of fetal limb deformities (6 forearm defects, 8 cases of hand loss, 5 cases of radial defects, 9 cases of short limb deformities, 7 cases of bilateral femoral unequal length, 11 cases of abnormal limb posture Cases, varus 21 cases, multiple (or) and finger (toe) 10 cases, lower limb leg defects in 3 cases), all children confirmed after induction of labor. Conclusion: The standardized prenatal ultrasound can accurately diagnose fetal limb deformity and is an important part of fetal quality control system.