本文選題：超聲影像 + 肢體畸形��； 參考：《中國(guó)超聲醫(yī)學(xué)雜志》2017年11期

【摘要】：目的探討超聲影像在診斷胎兒上肢末端異常類型中的應(yīng)用價(jià)值。方法采用連續(xù)順序追蹤超聲法(SCSA)對(duì)胎兒肢體進(jìn)行掃查,當(dāng)疑有異常時(shí),運(yùn)用超聲實(shí)時(shí)三維等多種成像模式對(duì)可疑異常處進(jìn)行成像觀察。超聲診斷胎兒上肢末端異常的病例,追蹤隨訪產(chǎn)后與病理結(jié)果。結(jié)果在本研究中,超聲影像檢出胎兒上肢異常42例,其中手姿勢(shì)異常21例、多指畸形13例、并指5例、裂手畸形2例、手指缺失1例。隨訪病例共21例,其中19例(90.48%)產(chǎn)前超聲結(jié)果與隨訪結(jié)果一致,誤診2例(9.52%)。結(jié)論胎兒上肢末端嚴(yán)重畸形的檢出受胎兒體位、羊水量及上肢末端狀態(tài)的影響,SCSA的規(guī)范運(yùn)用、二維及三維等多種超聲顯像模式的聯(lián)合應(yīng)用有助于檢出。
[Abstract]:Objective to evaluate the value of ultrasonography in the diagnosis of fetal terminal abnormalities. Methods the fetal limbs were scanned by continuous sequential tracing ultrasound (SCSA). When abnormal was suspected, various imaging modes such as real-time three-dimensional ultrasound and other imaging models were used to observe the suspected anomalies. Ultrasound diagnosis of fetal upper extremity abnormal cases, follow up postpartum and pathological results. Results in this study, 42 cases of fetal upper limb abnormalities were detected by ultrasonography, including 21 cases of abnormal hand posture, 13 cases of polydigital malformation, 5 cases of finger deformity, 2 cases of cleavage hand malformation and 1 case of missing finger. There were 21 cases followed up, of which 19 cases were diagnosed as 90.48) the results of prenatal ultrasound were consistent with those of follow-up, and 2 cases were misdiagnosed as 9.52%. Conclusion the detection of severe upper extremity malformation is affected by fetal position, amniotic fluid volume and terminal state of upper extremity.
【作者單位】： 贛南醫(yī)學(xué)院;贛南醫(yī)學(xué)院第一附屬醫(yī)院超聲診斷科;
【分類號(hào)】：R445.1;R714.5

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本文編號(hào)：1807803