胎儿颜面部畸形高频超声尸体解剖学研究  

Study on high frequency ultrasound autopsy of fetal facial malformations

作　　者：陈秀兰[1] 李胜利[1] 姚远[1] 文华轩[1] 廖玉媚[1] 黄犁[2] 

机构地区：[1]南方医科大学附属深圳市妇幼保健院超声科,广东深圳518028 [2]南方医科大学附属深圳市妇幼保健院病理科,广东深圳518028

出　　处：《中国介入影像与治疗学》2008年第6期413-416,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：深圳市科技计划项目(200602109)

摘　　要：目的研究胎儿尸体颜面部畸形产后高频超声检查的准确性。方法对产前超声检查诊断为严重畸形或染色体检查为异常而引产、且其父母同意尸体解剖的71例引产胎儿颜面部行产后高频超声检查,并将结果与尸体解剖对比。结果产后超声发现71例中共有24例胎儿存在颜面部畸形,共有颜面部畸形51处,经尸体解剖证实,PMFU灵敏度、准确率均达100%。从不破坏尸体完整性、操作的简便性、获得结果的快捷性方面进行评估,51处颜面部畸形中,PM-FU在22处优于尸体解剖。结论产后超声检查为胎儿尸体解剖学检查开辟了新领域,可以作为尸体检查的选择方法之一,在胎儿尸体解剖遇到障碍时代替运用,或在尸体解剖前运用作为尸体解剖思路、步骤、方法等的指导。Objective To discuss the reliability of postmortem fetal ultrasound （PMFU） examination of facial malformations. Methods Seventy-one fetuses that diagnosed malformations or chromosome abnormalities, by prenatal diagnosis were terminated, and the results of PMFU were compared with autopsy. Results A totai of 51 facial malformations were found in 24 fetuses with PMFU, the sensitivity was 100%, and the coincidence rate was 100%, compared with autopsy. Considering the integrity of corpse and the convenience of operation the time-consuming of autopsy results, PMFU was bet ter than autopsy in the examinations of 22 malformations. Conclusion PMFU opens up a new territory of fetal corpse ex amination. PMFU can serve as an alternative of corpse examination in the diagnosis of fetal facial malformations.

关 键 词：超声检查 畸形 

分 类 号：R445.1[医药卫生—影像医学与核医学]