晚孕期胎儿迟发畸形的超声观察  

Ultrasound Observation of Fetal Late Malformation in Late Pregnancy

作　　者：黄燕玲[1] 陆永萍[1] 他林坤[1] 徐飞[1] 

机构地区：[1]昆明医科大学第四附属医院超声科,云南昆明650021

出　　处：《昆明医科大学学报》2014年第10期61-64,共4页Journal of Kunming Medical University

基　　金：云南省应用基础研究基金资助项目(2013FZ192)

摘　　要：目的探讨胎儿迟发畸形的类型,探讨迟发畸形检出后如何获得最佳妊娠结局.方法选择2009年1月至2013年12月在昆明医科大学第四附属医院接受18-24周产前系统筛查未发现结构异常,并在28-33周接受晚孕期系统检查的孕妇.重点观察胎儿颅脑、胸腔、心脏、腹腔、膈肌、脐孔.结果检出迟发畸形33例,发生率为2.2‰,畸形分别出现在颅脑、颜面部、胸腔、心脏、肝脏、腹腔及肢体.检出畸形均为单发,并无合并其他异常.畸形发生最多的部位是腹腔,其次是颅脑.结论胎儿各系统均可能出现迟发畸形,根据对妊娠结局的影响,分为预后良好和预后不良2类.对于妊娠结局良好的迟发结构异常,需要结合临床经验,详细为孕妇进行咨询,使孕妇及家属明确妊娠结局的良好走向,增强孕妇遵医行为,积极主动接受必要动态观察,并为临床咨询和产科处理及新生儿的治疗提供重要参考依据.Objective To discuss the fetal late malformation types, and seek methods for best pregnancy outcomes after the malformations are detected. Methods Pregnant women taken systematic late inspection during28-33 weeks gestation while detected no fetal malformations in their 18-24 weeks gestation from 2009 to 2013 in our hospital were enrolled in this study. The intensive checkpoints of ultrasound for fetal late formation were the fetal brain, chest, heart, diaphragm and umbilicus. Results The incidence rate of late malformation was 2.2%,and33 cases were detected. These malformations were detected with single lesion in brain,facial region,heart,liver,abdomen and limbs. Fetal late malformation occurred most frequently in abdomen followed by brain. Conclusions Malformation may occur in different fetal system, which can be divided into good and bad prognosis according to its effect on pregnancy outcome. It is necessary to give detailed consultation combined with clinical experiences to those cases with good-prognosis late malformations. Thus,the pregnant women and their families will get to know their good pregnancy outcomes and accept dynamic observation proactively while their compliance behaviors are improved,which will serve as strong evidences for clinical consultation, obstetric intervention and neonatal treatment.

关 键 词：胎儿 超声 迟发畸形 妊娠结局 

分 类 号：R445.1[医药卫生—影像医学与核医学]