超声检查对产前诊断胎儿肢体畸形的价值  

Value of antenatal ultrasound on deformed limbs in fetuses

作　　者：郑丽雅[1] 陈志奎[2] 林燕[1] Zheng Liya, Chen Zhikui, Lin Yan.（ Department of ultrasound, Fujian Provincial Women and Children Health Hospital. Fuzhou 350001 ,Fijian,China）

机构地区：[1]福建省妇幼保健院,福建福州350001 [2]福建省协和医院

出　　处：《中国保健》2007年第22期6-8,共3页Chinese Health Care

摘　　要：目的：探讨二维超声在胎儿肢体畸形产前诊断的价值。方法：回顾2005年1月～2007年7月在我院行产前检查的31573例孕妇胎儿肢体畸形超声检查结果，并与产后新生儿检查或尸体检查结果作对照分析。结果：超声检出胎儿肢体畸形25例，分为7类，共30条肢体受累，产后证实32例，分9类，共43条肢体受累，超声诊断胎儿肢体畸形的敏感性、特异性、阳性预测值、阴性预测值分别为75％、99．9％、92．3％、99．9％。结论：超声诊断胎儿畸形具有较高灵敏度和特异度，是诊断胎儿肢体畸形的首选方法。Objective： To explore the value of ultrasound to diagnose deformed limbs in fetuses. Methods： To review and analyze the results and image characteristics of ultrasound in fetuses with deformed limbs and compare with that after labor or induced labor. Results： 25 cases of limbs malformation were diagnosed by ultrasound, however, after labor or induced labor, 32 fetuses with deformed limbs were confirmed. The sensitivity, specificity,positive and negative predictive values were 75% ,99. 9% ,92. 3% and 99. 9%, respectively. Conclusion： Ultrasound is invaluable for fetal limbs malformation diagnosis, and is the first method for antenatal diagnosis.

关 键 词：超声检查 胎儿 肢体畸形 

分 类 号：R445.1[医药卫生—影像医学与核医学;医药卫生—诊断学;医药卫生—临床医学]