经腹及经阴道三维超声对11～14孕周胎儿畸形的诊断价值  

Diagnosic value of transabdominal sonography and three-dimensional transvaginal ultrasound in screening for fetal malformations during 11～14 weeks

作　　者：梁新[1] 陈书文[1] 周鹏[1] 高露露[1] 李征毅[1] 杨秋红[1] 

机构地区：[1]深圳大学第一附属医院,深圳市第二人民医院超声科,广东深圳518036

出　　处：《中国临床医学影像杂志》2012年第6期404-406,共3页Journal of China Clinic Medical Imaging

基　　金：深圳市科技计划项目基金(No.201103103);深圳市医学重点学科建设经费资助(No.2005CD6)

摘　　要：目的:探讨经腹及经阴道三维超声对早中孕期胎儿畸形的诊断价值。方法:回顾性总结、分析26例11～14孕周时经腹及经阴道三维超声诊断,中孕期超声复查或引产病理证实的胎儿结构异常的超声声像图表现。结果:在11～14孕周经腹及经阴道三维超声诊断出26例胎儿结构异常,随访24例,2例失访;除1例11孕周连体双胎漏诊,其余均与超声诊断结构相符。结论:经腹及经阴道三维超声检查对发现早期胎儿结构异常有重要临床应用价值。规范化是减少漏诊的重要措施。Objective： To evaluate the value and the accuracy of transabdominal sonography（TAS） and three-dimensional transvaginal ultrasound（3D-TVS） examination in the diagnosis of fetal malformations during first trimester and second trimester.Methods： We summarized and analyzed retrospectively the ultrasonic image features of 26 cases,wihch were diagnosed as fetal structural abnormalities by TAS and 3D-TVS at 11～14 weeks gestation,then confirmed at second trimester or by postmortem after induction.Results： Twenty-four cases were followed up,and 2 cases lost contact.Only one with conjoined twins was missed at 11 weeks of gestation.Other fetal structural abnormalities were consistent with the TAS and 3D-TVS findings.Conclusions： TAS and 3D-TVS examination have important value in the early detection of fetal structural abnormalities.Standardization of the examination is the key to reduce misdiagnosis.

关 键 词：胎儿疾病 畸形 超声检查 产前 

分 类 号：R714.53[医药卫生—妇产科学] R445.1[医药卫生—临床医学]