超声对胎儿成骨发育不全的诊断价值  

The Diagnosis Value of Ultrasound for Fetal Osteogenesis Imperfecta

作　　者：伍萍 熊天波 熊琳宁 

机构地区：[1]重庆市大足县人民医院,重庆402360

出　　处：《河北医学》2012年第5期609-612,共4页Hebei Medicine

摘　　要：目的:探讨超声检查对胎儿成骨发育不全(OI)的诊断价值。方法:回顾总结我院自2006年2月至2011年2月经产前常规超声检查确诊为胎儿成骨发育不全的孕妇20例的声像图特点,并将其与胎儿引产后由X线或是病理证实的结果相比较,研究分析超声检查对胎儿成骨发育不全的诊断准确性及应用价值。结果:在本组20例孕妇中,17例超声检查与引产后的病理证实结果相符合,正确率达到85%。所有患儿均有四肢短小弯曲并多发骨折的特点,其中9例胎儿羊水较多。结论:产前超声检查可较准确的诊断出胎儿骨骼发育异常,通过分析声像图特点并与引产后由X线或病理证实的结果相对比,检测结果基本相符,对有效筛检OI具有重要意义,有较好的临床价值,是对胎儿行产前诊断骨骼发育是否异常的首选方法。Objective： To investigate the diagnosis value of ultrasound examination for fetal osteogenesis imperfecta（OI）. Method： Retrospectively analyzed the sonographic feature of 20 cases OI of pregnant women of fetal who were diagnosed by prenatal ultrasound and compared the results with X-ray or pathology determination after induction to assess the accuracy and value of ultrasound examination for fetal OI. Result： 17 cases of ultrasound examination results were confirmed to pathology results after induction,and the correct rate was 85%,and all cases had the feature of short limbs and multiple fractures,including 9 cases had more amniotic fluid than the others. Conclusion： Prenatal ultrasound diagnosis may be more accurate to diagnose the skeletal abnormalities of the fetus,through the analysis of sonographic features and comparing with the X-ray or pathology results after induction,it shows that the results are basically consistent with them.It＇s importance significance for screening OI significance,and it is the preferred method for the prenatal diagnosis of fetal bone development.

关 键 词：超声检查 胎儿成骨发育不全 诊断价值 

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]