产前超声诊断胎儿单纯腭裂病例分析

发布时间：2018-03-25 22:43

本文选题：经口裂斜冠状切面　切入点：单纯腭裂　出处：《中国超声医学杂志》2017年08期

【摘要】：目的探讨产前超声诊断胎儿单纯腭裂的临床价值及相关病例分析。方法 "经口裂斜冠状切面"对16 535例胎儿腭进行扫查,显示硬腭及软腭并分析超声声像图特征;回顾分析产前诊断单纯腭裂22例胎儿腭部超声声像图特征及全身伴发畸形情况。结果 14 550例腭正常胎儿超声均能显示硬腭及软腭(88.0%):硬腭"条形强回声"及软腭"平行等号"征象均清晰显示。22例单纯腭裂病例中硬腭"条形强回声"及软腭"平行等号征"中断22例(100%),显示犁骨19例(86.4%)。(引)产后证实21例存在单纯腭裂,15例全身伴发畸形(71.4%):心血管系统9例(60.0%)、中枢神经系统9例(60.0%)、颜面部8例(53.3%)、泌尿系统3例(20.0%)。结论产前超声"经口裂斜冠状切面"能较好显示胎儿腭;胎儿单纯腭裂多有全身伴发畸形,发现胎儿异常时增加"经口裂斜冠状切面"能提高单纯腭裂检出率。
[Abstract]:Objective to investigate the clinical value of prenatal ultrasound diagnosis of fetal cleft palate and related cases. Methods transoral oblique coronal section of 16535 cases of fetal palate scan, display the hard palate and the soft palate and analysis of ultrasonographic features; retrospective analysis of prenatal diagnosis of cleft palate in 22 cases of fetal palate ultrasonographic features and the body with malformation. Results 14550 cases of normal fetal palate ultrasound can show the hard palate and the soft palate (88%): the hard palate and the soft palate "strip strong echo" "parallel" signs were clearly revealed in.22 cases of cleft palate cases in hard palate "strip strong echo" and "parallel" sign "interruption of the soft palate in 22 cases (100%), display 19 cases vomer (86.4%). (cited) has confirmed 21 cases of postpartum cleft palate, 15 cases with systemic malformations (71.4%): 9 cases of cardiovascular system (60%), 9 cases of central nervous system (60%), 8 cases of facial Ministry (53.3%), 3 cases of urinary system (20%). Conclusion. Anterior ultrasonographic "cleft coronal section" can better show fetal palate. Fetal cleft palate is more accompanied by systemic malformation. When fetal abnormalities are detected, increasing the "oblique cleft coronary section" can improve the detection rate of pure cleft palate.

【作者单位】：重庆市妇幼保健院超声科;
【基金】：重庆市卫生计生委2016年医学科研计划项目(No.2016MSXM096)
【分类号】：R445.1;R714.5

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