资源描述:
《产前B超检查诊断胎儿骨骼肢体畸形的价值分析》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、产前B超检查诊断胎儿骨骼肢体畸形的价值分析[摘要]目的探❷产前B超检查对胎儿骨骼肢体畸形的诊断价值,以提高对胎儿骨骼肢体畸形的临床检出率。方法回顾性分析2013年12月〜2016年12月温州市中心医院收诊的26例胎儿骨骼肢体畸形的妊娠妇女的临床资料和影像学资料,分析产前B超检查与产后胎儿的临床表现及X线片诊断结果。结果本组26例骨骼肢体畸形胎儿均在引产或分娩后由X线或病理解剖等所证实,其中软骨发育不全20例,成骨发育不全6例,产前B超的检出率分别为85%和100%,对前者的检出率与产后X线相比较,差异有统计学意义。产前B超与产后X线检查综合诊断
2、结果显示:本组26例胎儿中,10例头围>2SD,14例合并羊水过多,17例羊水指数〉18cm,13例合并胸腔狭小、脊柱形态异常、心脏结构异常等畸形。20例软骨发育异常,其中16例胎儿的股骨长、肱骨长均小于同期孕龄的4SD;3例股骨长小于同期孕龄3SD,且肱骨长小于同期孕龄4SD;1例股骨长小于同期孕龄2SD,且肱骨长小于同期孕龄3SDo结论产前B超检查是诊断胎儿骨骼肢体畸形,降低畸形胎儿出生率的首选方法。临床中可同时结合产后胎儿的临床表现、X线检查及基因检测来明确诊断结果,以提高临床诊断准确率。[关键词]胎儿骨骼肢体畸形;B超;X线片;软骨发育
3、不全;成骨发育不全[中图分类号]R71[文献标识码]A[文章编号]1673-721005-0109-04ThevalueanalysisofprenatalultrasonographyindiagnosisoffetalskeletallimbdeformitiesWUJiel订DONGXueqin2CHENXinxiaolTANGShaohua31.DepartmentofObstetricsandGynecology,WenzhouCentreHospital?ZhejiangProvince,Wenzhou325000,China;2.
4、BUltraRoom,WenzhouCentreHospital,ZhejiangProvince,Wenzhou325000,China;3.ClinicalLaboratory,WenzhouCentreHospital,ZhejiangProvince,Wenzhou325000,China[Abstract]ObjectiveToinvestigatethevalueofprenatalultrasonographyinthediagnosisofskeletallimbdeformities,inordertoimprovethecl
5、inicaldetectionrateofthem.MethodsTheclinicaldataandimagingdataof26pregnantwomenwithfetalskeletaldeformitiesofWenzhouCentreHospitalfromDecember2013toDecember2016wereanalyzedretrospectively.Thentheresultsofprenatalultrasoundexamination,postnatalfetalclinicalmanifestationsandX-
6、raydiagnosiswereanalyzed・Results26caseswithfetallimbdeformitieswereconfirmedbyX-raydiagnosisorpathologicalanatomyandsoonafterinducedlaborordelivery,amongthemtherewere20casesofchondrodysplasia,and6casesofosteogenesisimperfecta.Theprenataldiagnosisrateofprenatalultrasonography
7、forthemrespectivelywas85%and100%.Moreover,comparedwiththedetectionrateoftheformerwiththatofpostpartumX-ray,thedifferencewasstatisticallysignificant・TheresultsofprenatalultrasonographyandpostnatalX-rayfilmwereshowedthat:10caseswithheadcircumference>2SD,14casescomplicatedamnio
8、ticfluid,17caseswithamnioticfluidindex>18cm,13casescomplicatedwithstenosiso