超声诊断胎儿轻度侧脑室增宽的临床意义-论文.pdf

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1、·28·l临床医学2014年9月第34卷第9期ClinicalMedicine，Sept．2014，Vo1．34，No．9超声诊断~fiJL轻度侧脑室增宽的临床意义王海燕(郑东新区河南省直第三人民医院超声科，郑州450006)【摘要】目的分析超声诊断胎儿轻度侧脑室增宽的临床意义。方法选取在河南省直第三人民医院进行超声诊断侧脑室增宽的胎儿8O例，依据超声检查结果进行分组，轻度增宽组胎儿40例，超声检查轻度侧脑室增宽；重度组增宽组胎儿40例，均诊断为侧脑室增宽；对两组胎儿复查结果和最终结果进行分析。结果重度增

2、宽组胎儿1个月复查、2个月复查好转比例显著低于轻度增宽组胎儿。重度增宽组患儿伴有畸形的发生比例、引产后脑积水、脊柱裂、先天性心脏发育不全比例均显著高于轻度组胎儿，差异有统计学意义(P<0．05)。根据2个月后的复诊结果在患者和家属的同意下，采取针对性的处理措施。对2个月复查为侧脑室增宽的胎儿均行引产手术终止妊娠处理。结论在超声扫描下进行胎儿轻度侧脑室增宽的诊断具有较高的临床价值和临床意义，应给予重视。【关键词】超声；诊断；胎儿；侧脑室增宽；临床意义；畸形Clinicalsignificanceofultr

3、asoundfordiagnosisoffetuswithmildlateralventrieulomegalyWANGHai—yan．DepartmentofUltrasound，theThirdPeople’SHospitalofHenanProvince，Zhengzhou450006，China【Abstract】objectiveToanalyzetheclinicalsignificanceofultrasoundfordiagnosisoffetuswithmildlateralventri

4、culomeg．aly．MethodsEightyfetuswithlateralventriculomegalyinthethirdpeople’ShospitalofHenanprovinceweredividedintotwogroups，accordingtotheresultsofultrasound．Therewere40casesinmildlateralventricul0megalygroup，and40casesinseverelateralventrieulomegalygroup．

5、Thereexaminationresuhsandfinalresultsoftwogroupswereanalyzed．ResultsTheproportionsofpatientswithimprovementinseverelateralventricul0megalygroupwereobviouslylowerthanthoseofthemildlateralventricu—lomegalygroupat1monthand2monthsofreexamination．Theproportion

6、sofmalformation，hydrocephalusafterinducedlabor，spinabifida，congenitalheartfetaldysplasiainseverelateralventriculomegalygroupweresignificantlyhigherthanthoseinthemildlateralventrieulomegalygroup(P<0．05)．Withtheconsentofthepatientsandtheirfamilies，appropria

7、teactionsweretakenbasedontheresultsof2monthsofreexamination．Thefetuswithlateralventriculomegalvat2monthsofreexaminationweregiventerminationofpregnancybyinducedlabor．ConclusionUltrasoundinthediagnosisoffetuswithmildlateralventriculo—megalyhasgoodclinicalva

8、lueandclinicalsignificance，SOitshouldbepaidattentionto．【Keywords】Ultrasound；Diagnosis；Fetus；Lateralventriculomegaly；Clinicalsignificance；Malformation产前超声检查是每个产妇均应进行的影像学检1资料与方法查，为产妇常用的检查手段之一。侧脑室增宽在超声1．1一般资料：选取2009年12