胎儿系统超声联合实时三维超声检查在胎儿手足诊断中的临床价值

发布时间：2018-03-18 21:13

本文选题：胎儿系统超声　切入点：实时三维超声　出处：《重庆医学》2015年25期 　论文类型：期刊论文

【摘要】：目的探讨胎儿系统超声(二维)联合实时三维超声检查在孕中期单胎妊娠诊断胎儿手足畸形中的临床价值。方法回顾性分析该院2009年1月至2013年11月23 675例孕妇所孕的中孕单胎活胎胎儿,均进行了胎儿系统超声联合实时三维超声检查,共检查手掌、足掌47 350只。结果胎儿系统超声联合实时三维检查3次以上手足情况,手掌、足掌显示率100.0%,但手指、足趾1次检查显示率为81.2%,2次检查显示率为97.2%,3次及以上检查显示率超过99.8%。诊断为手足畸形胎儿136例,其中手姿势异常37例,手指畸形6例;足畸形93例,以足内翻为主;其中2例合并18-3体,4例合并21-3体。结论中孕期进行胎儿系统超声联合实时三维超声检查可以较早发现胎儿手足畸形,胎儿部分手、足畸形与染色体异常有相关性。
[Abstract]:Objective to evaluate the clinical value of fetal system ultrasound (2D) combined with real-time 3D ultrasonography in the diagnosis of fetal hand and foot malformation in the second trimester of pregnancy. Methods from January 2009 to November 23rd 2013, 675 pregnant women in our hospital were retrospectively analyzed. The second trimester of a single live fetus, 47,350 palms and palms were examined by fetal system ultrasound combined with real-time three-dimensional ultrasound. Results Fetal system ultrasound combined with real-time three-dimensional examination showed more than 3 times of hand and foot, the display rate of palm and foot was 100.0%, but the finger, hand and foot were detected. The display rate of toe was 81.2% and twice. The display rate was more than 99.80.136 cases of fetal hand and foot malformation were diagnosed, including 37 cases of abnormal hand posture, 6 cases of finger malformation, 93 cases of foot deformity, 93 cases of foot deformity, and 93 cases of foot deformity. Conclusion Fetal systemic ultrasound combined with real time 3D ultrasound can find fetal hand and foot malformation, fetal hand and foot malformation and chromosomal abnormalities in 2 cases with 18-3 body and 4 cases with 21-3 body during pregnancy.
【作者单位】：重庆市妇幼保健医院超声科;
【基金】：重庆市卫生局资助项目(2010-2-327)
【分类号】：R714.5;R445.1

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