二维联合三维超声对胎儿Ⅰ型脊髓纵裂的诊断价值  

The diagnostic value of two-dimensional combined with three-dimensional ultrasonography in fetal longitudinal spinal cord typeⅠ

作　　者：兰琼 马斌[1] 李天刚[1] 杨兰[1] 谢霞 LAN Qiong;MA Bin;LI Tian-gang;YANG Lan;XIE Xia(Gansu Provincial Maternity and Child-care Hosiptal,Lanzhou 730050,China)

机构地区：[1]甘肃省妇幼保健院功能检查科,甘肃兰州730050

出　　处：《中国临床医学影像杂志》2022年第1期53-55,共3页Journal of China Clinic Medical Imaging

基　　金：国家重点研发项目(2018YFC1002500)。

摘　　要：目的:分析二维联合三维超声对胎儿Ⅰ型脊髓纵裂的产前诊断价值。方法:回顾性分析我院产前超声诊断15例Ⅰ型胎儿脊髓纵裂的二维及三维超声表现,总结胎儿Ⅰ型脊髓纵裂的声像图特征及伴发畸形。结果:15例胎儿Ⅰ型脊髓纵裂的产前二维超声均表现为椎管内强回声分隔,并伴部分病变部位脊髓受压、椎弓间距增宽及椎管扩张,腰椎及以下病变部位常伴脊髓圆锥位置下移,部分胎儿常合并其他神经管畸形,三维超声能够在脊柱冠状面直观显示椎管内强回声分隔位置、数目及其与周围组织毗邻关系。结论:二维超声联合三维超声对胎儿Ⅰ型脊髓纵裂有重要的诊断价值。Objective:To analyze the value of two-dimensional ultrasound for prenatal diagnosis of fetal spinal cord fracture.Methods:The two-and three-dimensional ultrasound manifestations of 15 cases were analyzed retrospectively,and the characteristics of longitudinal spinal cord fracture were summarized.Results:15 cases of fetal spinal cord prenatal two-dimensional ultrasound were characterized by strong echo separation,with spinal cord compression,spinal arch spacing and expansion,spinal cone position downward,some fetuses often with other neural tube malformation,three-dimensional ultrasound can directly show the location and number of surrounding tissue in the spinal crown.Conclusion:Two-dimensional ultrasound and three-dimensional ultrasound are important for fetal spinal cord fracture.

关 键 词：神经管缺损 先天畸形 超声检查 产前 

分 类 号：R714.53[医药卫生—妇产科学] R445.1[医药卫生—临床医学]