中孕早期普通超声检查易发现的胎儿异常种类  

Fetal malformation detected by routine ultrasound scan at early second trimester

作　　者：胡雁来[1] 赵蔚[1] 严英榴[1] 

机构地区：[1]复旦大学附属妇产科医院超声科,上海200011

出　　处：《复旦学报（医学版）》2013年第5期598-600,共3页Fudan University Journal of Medical Sciences

摘　　要：目的 探讨妊娠14~18周普通超声检查易发现的胎儿异常种类。方法 回顾性分析2008年我院妊娠14~18周初诊进行普通超声检查的孕妇共8 835例,超声检查项目包括测量头围、腹围、股骨及肱骨,记录胎儿数、胎心搏动、胎盘方位及羊水评断。若胎位合适,观察脑中线、心脏位置、胃泡位置、肾脏、腹腔、四肢。结果 超声检查发现胎儿结构异常141例（1.6%）,主要为脉络丛囊肿（66.0%）,胎儿水肿（13.5%）、多发畸形（7.1%）和神经管畸形（6.4%）、先天性肺囊性腺瘤样病变（1.4%）、集合系统扩张（1.4%）、多囊泡肾（1.4%）、腹腔囊肿（1.4%）、马蹄内翻足（0.7%）和单脐动脉（0.7%）。结论 妊娠中孕早期普通超声检查可发现相当一部分的胎儿结构异常,有利于产前诊断及早期治疗。Objective To investigate the type of fetal malformation by routine ultrasound examination at early second trimester in unselected pregnancy population. Methods A total of 8 835 women at 14 to 18 weeks of gestation,who received routine ultrasound at their first clinical visiting,were analized retrospectively.Ultrasonic inspection items included head circumference,abdominal circumference,femur and humerus length,as well as the number of fetuses,cardiac activity,placenta localization and amniotic fluid.The brain midline,position of the heart and stomach,kidneys,abdominal cavity and limbs were assessed when possible. Results It was found that 141 （1.6%） fetuses had structural malformations,including choroid plexus cysts （66.0%）,hydrops （13.5%）,multiple malformations （7.1%）,neural tube defects （6.4%）,congenital cystic adenomatoid malformation of the lung （1.4%）,hydronephrosis （1.4%）,multicytic kidney disease （1.4%）,abdominal cyst （1.4%）,club foot （0.7%）,and single umbilical artery （0.7%）. Conclusions A considerable number of fetal structural malformations could be detected via routine ultrasound examination at early second trimester pregnancy.Ultrasound is favorable to early prenatal diagnosis and treatment.

关 键 词：胎儿畸形 中孕早期 超声检查 

分 类 号：R714.53[医药卫生—妇产科学]