二维超声结合三维超声诊断胎儿腹壁缺损的临床价值  

Clinical value of 2D and 3D ultrasonography in prenatal diagnosis of fetal abdominal wall defects.

作　　者：田茂渝[1] 杨太珠[1] 

机构地区：[1]四川大学华西附二院超声科,成都610041

出　　处：《中国优生与遗传杂志》2010年第3期107-108,共2页Chinese Journal of Birth Health & Heredity

基　　金：国家科技支撑计划"重大出生缺陷和遗传病的防治研究-严重胎儿结构异常影像学产前筛查和诊断新技术的研究"资助;项目编号2006BAI05A04

摘　　要：目的评估产前超声诊断胎儿腹壁缺损的临床价值。方法产前应用二维彩色超声对41738例中晚孕期妇女的胎儿进行系统检查,对发现胎儿腹壁发育有异常的胎儿应用三维超声观察胎儿腹壁缺损的形态结构及特异的超声表现特征,并与产后结果对照。结果41738例中晚孕期妇女中超声诊断腹壁缺损共58例,超声诊断准确率98.3%。23例腹裂有中5例伴发其它部位畸形,34例脐膨出中11例伴发其它畸形。结论应用二维超声结合三维超声对中晚孕期诊断胎儿腹壁缺损具有重要的临床价值。Objective： To evaluate the clinical role of uhrasonography in the prenatal diagnosis of fetal abdominal wall defects. Methods： We used ultrasonography to observe the morphology and specific ultrasonographic features of fetal abdominal wall defects during the second and third trimesters of pregnancy, and compared them with the pathological findings. Results ： Fetal abdominal wall defect was diagnosed in 58 cases. Gastroschisis as an isolated finding occurred in 18 （78.3%） fetuses, and 5 （21.7%） cases had associated malformations. Omphalocele included 23 （67. 6% ） isolated anomalies and 11 （ 32.4% ） multi - anomalies. Conclusions ： Uhrasonography plays an important role in the prenatal diagnosis of fetal abdominal wall defects during the second and third trimesters of pregnancy, which provides important information for detecting other associated fetal defects.

关 键 词：超声 腹裂 脐膨出 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]