71例胎儿先天椎体畸形的超声诊断分析  

Two-dimensional and three-dimensional ultrasonography in diagnosis fetal congenital vertebral deformities

作　　者：赵庆红[1] 石华[1] 胡佳琪[1] 张玉国[1] 王丹[1] 

机构地区：[1]武汉大学人民医院妇产超声科,430060

出　　处：《中华全科医师杂志》2018年第3期218-220,共3页Chinese Journal of General Practitioners

摘　　要：回顾性分析2013年1月1日至2016年12月31日产前超声检查诊断为胎儿椎体畸形的71例孕妇产前病历资料。脊柱椎体畸形检出率0.103%（71/67 008），其中半椎体胎儿40例（56.3%），蝴蝶椎胎儿23例，冠状椎体裂胎儿2例，椎体融合胎儿6例。71例椎体异常胎儿中，合并其他异常者40例，其中28例胎儿行引产，12例胎儿已出生；31例单纯椎体异常中，8例胎儿已出生，23例胎儿因多发椎体异常，脊柱侧弯明显或合并肋骨融合、肋骨缺失等而进行引产。已出生患儿因单个椎体异常而无明显的脊柱侧弯，出生后3～6个月行X线检查，结果均与产前超声诊断相符。51例引产儿尸体进行了X线检查，48例产前超声诊断与X线片检查符合，3例胎儿漏诊了并发蝴蝶椎均为多发半椎体胎儿。Prenatal 2D and 3D ultrasonographic examinations were performed for 67 008 pregnant women in Renmin Hospital of Wuhan University from January 2013 to December 2016. Among 69 013 fetuses, 71 cases of congenital vertebral deformities were diagnosed with a detection rate of 0. 103%. There were 40 cases of semi-vertebrae, 23 cases of butterfly vertebrae, 2 cases of coronal vertebral body fissure and 6 cases of vertebral fusion. Half vertebral deformity was the xnost common vertebral abnormality accounting for 56.3% （40/71）, and the coronal vertebral body fissure was the least abnormality. Among 71 abnormal vertebral fetuses, there were 40 cases with other abnormalities, of which 28 fetuses were induced abortion, 12 fetuses were born; there were 31 cases of simple vertebral body anomalies, of which 8 fetuses were born and 23 fetuses were induced abortion. In infants with a single vertebral anomalies had no significant seoliosis, X-ray examination was performed 3 -6 months after birth, the results were eonsistent with prenatal ultrasound diagnosis. Fifty one cases of induced abortion were examined by X-ray, the prenatal diagnosis was consistent with X-ray findings in 48 cases, and the remaining 3 cases were all multiple hemi-vertebrae with missed diagnosis of congenital butterfly vertebral deformity.

关 键 词：椎体畸形 先天畸形 超声检查 产前 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]