产前超声筛查在胎儿神经管畸形中的价值探讨  

Discussion on the value of standardized ultrasound screening for fetal central nerve system abnormalities

作　　者：刘晶[1] 张巧莲[2] 宋涛[3] 

机构地区：[1]广州中医药大学附属中山医院超声诊断科,广东中山528400 [2]新疆医科大学,乌鲁木齐830011 [3]新疆医科大学第一附属医院超声医学中心,乌鲁木齐830054

出　　处：《新疆医科大学学报》2015年第2期211-213,共3页Journal of Xinjiang Medical University

基　　金：国家自然科学基金(81260220)

摘　　要：目的探讨产前超声筛查在胎儿神经管缺陷中的应用价值。方法参考国际妇产超声学会(ISUOG)操作规范,对2008年2月-2014年2月在新疆医科大学第一附属医院就诊的3 056例孕妇进行了产前超声筛查,系统检查胎儿头颅、脊柱等结构,对其病例资料进行回顾性分析。结果 3 056例胎儿中共检出胎儿神经管缺陷87例,其中脑室扩张32例,前脑无裂畸形5例,无脑儿11例,露脑畸形1例,脉络膜囊肿8例,Dandy-walker畸形3例,脑脊膜膨出4例,脑膜脑膨出2例,脊柱裂19例,半椎体畸形2例。结论产前超声筛查能够最大限度地检出胎儿神经管畸形,对减少漏诊率、降低医疗风险具有重要的临床意义。Objective To evaluate the clinical value of standardized ultrasound screening for fetal central nerve system abnormalities.Methods During the period of Feb.2008 and Feb.2014 3 056 pregnancy women were subjected to ultrasound screening in our hospital.The structures,such as the head and spine were scanned in detail.Results Eighty-seven fetus with fetal central nerve system abnormalities were ex-amined prenatally by ultrasound and each showed typical imaging feature.Among these cases,there were 32 cases of hydrocephalus,5 cases of holoprosencephaly,11 cases of anencephaly,1 cases of iniencephaly, 8 cases of choroid plexus cysts,3 cases of Dandy-Walker complex,6 cases of cephalocele,19 cases of spina bifida and 2 cases of scoliosis.Conclusion Standardized ultrasound screening is of great value to screen fe-tal abnormality,which can reduce the risk of medical treatment in fetal abnormality screening.

关 键 词：胎儿 畸形 神经管 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学]