胎儿唇裂与唇腭裂产前超声诊断分析  

Value of Prenatal Ultrasonography in the Diagnosis of Cleft Lip and Cleft Palate

作　　者：陈达丽[1] 彭丽珊[1] 杨芃[1] 

机构地区：[1]贵州省人民医院超声科,贵州贵阳550002

出　　处：《武汉大学学报（医学版）》2014年第4期639-641,共3页Medical Journal of Wuhan University

基　　金：贵州省科技厅资助项目(编号:黔科合LS字【2012】001号)

摘　　要：目的:对产前三维及二维超声检查在诊断胎儿唇裂与唇腭裂方面的价值进行分析,以其为临床上诊断该病提供依据。方法:选取2010年1月至2013年9月在我院超声科行二维及三维超声筛查的孕妇9 100例作为研究对象,将所有对象的产前诊断结果与产后诊断结果进行比较,比较分析两种检查方式的诊断结果符合率,并比较分析两种检查方式对不同胎龄的诊断符合率。结果:9 100例孕妇中,失访385例,失访率为4.23%,有引产或足月产结果的孕妇8 715例,产后发现唇裂及唇腭裂胎儿30例,其中单纯唇裂及唇腭裂分别为9例和21例;三维超声诊断符合率明显高于二维超声(P<0.05);唇裂及唇腭裂在孕25-34周检出率最高。结论:三维超声可提高胎儿唇裂及唇腭裂的检出率,对于提高人口出生质量具有非常重要的指导意义。Objective： To study the values of the two-dimensional and three-dimensional ultrasound imaging features in the diagnosis of fetus cleft lip and palate malformation in order to provide evidence for the clinical decisions. Methods： A total of 9 100 pregnant women who were received two-dimensional and three-dimensional ultrosound imaging in our hospital between Jan 2010 and Sep 2013 were enrolled into this study. The prenatal ultrasonic diagnosis and the results of newborns for all the subjects were compared and analyzed. The coincidence rate of the two methods in the women with different gestational age were compared. Results： Of the 9 100 pregnant women during follow-up, 385 were missed. The missing rate was 4.23%. The rest subjects had the records of induced or term labors. Thirty patients were diagnosed as cleft lip and/or palate malformation. The coincidence rate of the three-dimensional ultrasound imaging was significantly higher than that of the two-dimensional ultrasound imaging. The best time for ultrasound using for checking for cleft lip and palate was the 25 to 34 gestatiaonal weeks. Conclusion： The three-dimensional ultrasound imaging can improve the detection rate and may play an important role in improving the population quality.

关 键 词：产前诊断 超声 唇裂 唇腭裂 

分 类 号：R714.53[医药卫生—妇产科学]