胎儿腹腔内囊性病变的超声诊断分析

发布时间：2018-01-31 04:21

本文关键词： 产前超声胎儿腹腔囊性病变误诊　出处：《重庆医学》2017年08期 　论文类型：期刊论文

【摘要】：目的观察胎儿腹腔内囊性病变产前超声特征,结合随访结果分析超声误诊原因,探讨超声在胎儿腹腔内囊性病变中的应用价值。方法回顾分析2012年1月至2015年3月,该院产前超声发现并有随访结果的胎儿腹腔内囊性病变162例,观察病变的部位、超声特征、周围组织及血管分布等情况,对照产后随访结果进行总结分析。结果在162例病例中,泌尿系统来源最多(98/162),与腹腔内其他部位比较,差异有统计学意义(P0.05),其次依次为生殖系统(20/162)。胆道系统(15/162),肠道系统(14/162),脐静脉曲张(9/162),其他系统(6/162)。各个部位产前超声诊断符合率为:脐静脉曲张(100.0%),泌尿系统(100.0%),肠道系统(78.6%),生殖系统(90.4%)、胆道系统(86.7%),其他系统(83.3%)。结论胎儿腹腔内囊性病变易被超声发现,产前超声可依据病变的部位、形态、内部回声、周围组织及血管分布等综合情况判断病变的来源及病理分类,提高产前超声诊断符合率;产前超声判断病变的来源和病理分类存在误诊情况,需要总结经验提高诊断水平。
[Abstract]:Objective to observe the prenatal ultrasonographic features of fetal intraperitoneal cystic lesions and analyze the causes of misdiagnosis by ultrasound combined with the results of follow-up. To evaluate the value of ultrasound in the diagnosis of fetal intraperitoneal cystic lesions. Methods from January 2012 to March 2015. 162 cases of fetal intraperitoneal cystic lesions were detected by prenatal ultrasound and followed up. The location of lesions, ultrasonic features, distribution of surrounding tissues and blood vessels were observed. Results among 162 cases, the urinary system came from 98% of 162 cases, compared with other parts of abdominal cavity, the difference was statistically significant (P 0.05). Then the reproductive system 20 / 162, the biliary system 15 / 162, the intestinal system 14 / 162, the umbilical vein varicose 9 / 162). The accuracy rate of prenatal ultrasound diagnosis in all parts of the system was: umbilical varicose vein 100.0g, urinary system 100.00.The intestinal system 78.6). The reproductive system was 90.4 and the biliary system was 86.70.Conclusion Intraperitoneal cystic lesions of the fetus are easy to be detected by ultrasound, and prenatal ultrasound can be based on the location and shape of the lesions. The internal echo, peripheral tissue and vascular distribution were used to judge the origin and pathological classification of the lesions, and to improve the accuracy of prenatal ultrasound diagnosis. Prenatal ultrasound diagnosis of the origin and pathological classification of lesions exists misdiagnosis, it is necessary to sum up the experience to improve the diagnostic level.
【作者单位】：河北省唐山市妇幼保健院功能科;河北省唐山市妇幼保健院生殖遗传科;
【分类号】：R445.1;R714.5
【正文快照】： 随着人们对产前超声的重视,胎儿各种畸形的发现率逐步提高。胎儿腹腔内囊性病变易被超声发现,产前超声能够明确诊断绝大多数病变的来源和病理分类。本研究通过分析162例胎儿腹腔内囊性病变的超声特征,对比产后随访结果,总结胎儿腹腔内各个部位囊性病变的声像图特点及鉴别要点,

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