产前超声早期诊断胎儿前腹壁异常的临床意义  

Clinical value of prenatal ultrasound screening in early diagnosis of anterior anomaly of abdominal wall

作　　者：李华峰 陈秋香[1,2] 熊奕 林琪[1,2] 焦阳 甘晗静[1,2] 徐繁华 

机构地区：[1]暨南大学第二临床医学院 [2]深圳市人民医院超声科,广东深圳518020

出　　处：《中国介入影像与治疗学》2014年第2期96-99,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨早孕及中孕早期超声诊断胎儿前腹壁异常的临床意义。方法回顾性分析我院早孕及中孕早期超声诊断的21胎前腹壁异常胎儿超声表现及随访结果,分析比较前腹壁异常的超声声像图特征。结果早孕及中孕早期超声筛查出21胎胎儿前腹壁异常,均在首次超声检查时发现,均经引产直接观察或病理检查进一步证实;其中脐膨出12胎,泄殖腔外翻1胎,体蒂异常8胎。7胎接受羊水穿刺检查,1胎脐膨出为13-三体,余染色体未见异常。结论早孕及中孕早期超声检查可有效诊断及鉴别诊断前腹壁异常,具有重要临床意义。Objective To observe clinical valve of prenatal ultrasonography in first and early second trimester for diagnosis of anterior anomaly of abdominal wall. Methods A retrospective study was performed in 21 fetuses with anterior anom- aly of abdominal wall in first and early second trimester, including the time of preliminary diagnosis, ultrasonic findings, and follow-up results. The ultrasonic features were analyzed. Results All 21 fetuses were diagnosed with anomaly of abdominal wall by ultrasound in first and early second trimester, including 12 omphalocele, 1 cloacal exstrophy and 8 body stalk anomaly. Seven of the 21 fetuses underwent amniocentesis, and 1 fetus of omphalocele was diagnosed as 13-trisomy, the others were normal. Conclusion Prenatal ultrasonography in first and early second trimester is effective to diagnose fetal anterior anomaly of abdominal wall.

关 键 词：超声检查 产前 妊娠初期 前腹壁异常 诊断 鉴别 

分 类 号：R714.51[医药卫生—妇产科学] R445.1[医药卫生—临床医学]