胎儿脐膨出超声诊断思路  

Ultrasonic diagnosis of Fetal Omphalocele

作　　者：潘宜彩 Pan Yicai(Department of Ultrasound, Women and Children’s Hospital of Linyi, Linyi Shandong,276001,China)

机构地区：[1]山东省临沂市妇幼保健院超声诊断科,山东临沂276000

出　　处：《中外女性健康研究》2021年第12期6-8,共3页Women＇s Health Research

摘　　要：目的探讨胎儿脐膨出超声诊断思路。方法选择产前超声诊断并经引产后证实的胎儿脐膨出36例,对其超声图像进行总结分析,结合本组病例研究讨论脐膨出的超声诊断思路问题。结果36例胎儿脐膨超声表现为,巨型膨出14例,小型膨出22例。36例均于胎儿前腹壁脐根部见有突入脐带内的突出物,突出物表面均有完整薄膜包裹,脐带入口位于突出物表面。脐部团块内容物含有肝、肠管、脾、胃等脏器者16例,以肝脏为主者11例,仅有肠管者9例。脐根部团块大者7.1cm×6.2cm,小者1.2cm×1.0cm。结论超声检查胎儿脐膨出具有重要的价值,它不仅可以发现胎儿异常,并且能够为临床评估胎儿预后提供重要的图像依据。产前超声诊断胎儿脐膨出需要抓住以下重点1)检查者要十分熟悉脐膨出超声图像特征;2)要有得当的检查方法和清晰明确的诊断思路,做到检查全面有序,有目标,不遗漏;3)检查过程中要注意与胎儿前腹壁异常的鉴别诊断。Objective:To explore the thinking of ultrasonic diagnosis of fetal omphalocele.Methods:36 cases of fetal omphalocele diagnosed by prenatal ultrasound and confirmed after induced labor were analyzed,and the ultrasonic images were summarized.The thinking of ultrasonic diagnosis of omphalocele was discussed.Results:There were 36 cases of fetal omphalocele,14 cases of macroectasia and 22 cases of microectasia.In all 36 cases,there were mass protruded into the umbilical cord at the umbilical root of the anterior abdominal wall.The surface of the protrusion was covered with complete membrane.The contents of the umbilicus mass included liver,intestine,spleen,stomach and other organs in 16 cases,mainly liver in 11 cases,only intestine in 9 cases.The size of the mass was 7.1 cm×6.2 cm and the size was 1.2 cm×1.0 cm.Conclusion:Ultrasound examination of fetal omphalocele is of great value.It can not only find fetal abnormalities,but also provide important imaging evidence for clinical evaluation of fetal prognosis.Prenatal ultrasound diagnosis of fetal omphalocele needs to grasp the following key points:1)The examiners should be very familiar with the features of omphalocele ultrasound images;2)there should be appropriate examination methods and clear and definite diagnostic ideas,so as to check in a comprehensive and orderly manner,with objectives,do not miss;3)in the examination process must pay attention to with the fetal anterior abdominal wall abnormal differential diagnosis.

关 键 词：超声 胎儿 脐膨出 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]