产前超声对胎儿脑膜膨出及脑膜脑膨出的诊断价值分析  

The value of prenatal ultrasound in diagnosis of fetal meningocele or encephalocele

作　　者：邓凤莲[1] 郭燕丽[1] 段灵敏[1] 冯玉洁[1] 钟华[1] 刘建君[1] 薛雅方[1] 

机构地区：[1]第三军医大学西南医院超声科,重庆400038

出　　处：《重庆医学》2017年第4期475-477,共3页Chongqing medicine

基　　金："十二五"国家科技支撑计划项目(2014BA106B00)

摘　　要：目的探讨产前超声检查对胎儿脑膜膨出及脑膜脑膨出的临床应用价值。方法选取2011年1月到2015年6月经该院超声诊断并经引产证实的脑膜膨出及脑膜脑膨出胎儿39例,回顾性分析其临床资料及声像图特征。结果 2011年1月到2015年6月在该院接受超声检查的孕妇共111 620例,检出脑膜膨出及脑膜脑膨出胎儿39例,检出率0.35‰。超声诊断脑膜膨出16例(其中1例膨出部位为两处),脑膜脑膨出23例。产前超声能清晰显示胎儿颅骨缺损的部位、大小及膨出物的特点,并根据膨出物的特点判断脑膨出的类别。结论超声检查诊断胎儿脑膜膨出及脑膜脑膨出的准确性高,具有显著的临床价值。Objective To investigate the clinical value of prenatal ultrasound in fetal meningocele and encephalocele. Methods Thirty-nine fetuses with meningocele and encephalocele confirmed by prenatal ultrasound and abortion were acquired and their clinical data and sonographic features were retrospectively analyzed. Results Ultrasound screening in 111 620 cases showed 39 fetuses were with meningocele and encephalocele,.accounting for 0. 35%. Among them, 16 cases were diagnosed with meningocele （i：n- cluding 1 case with two bulging parts） and 23 cases with encephalocele. Prenatal ultrasound could clearly detect the location and size fetal skull defect, and bulging features. According to their sonographic features,meningocele or encephalocele was determined. Con- clusion Ultrasound could be a reliable prenatal screening method, provide an important basis for clinical intervention and have a significant clinical value in fetal meningocele and encephalocele.

关 键 词：胎儿 脑膜膨出 超声检查 多普勒 彩色 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]