| 唐静,陈松,冉素真.孕早期超声筛查胎儿颜面部畸形的临床意义[J].中国医学影像技术,2012,28(10):1890~1893 |
| 孕早期超声筛查胎儿颜面部畸形的临床意义 |
| Clinical value of ultrasound screening for fetus face malformations with ultrasound in early trimester |
| 投稿时间：2012-06-06 修订日期：2012-07-17 |
| DOI： |
| 中文关键词: 超声检查,产前 妊娠期,早期 胎儿 畸形 |
| 英文关键词:Ultrasonography, prenatal Pregnancy trimester, first Fetus Abnormalities |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超声在孕早期胎儿颜面部畸形筛查中的可行性。 方法 对13 611名孕11~13+6周孕妇进行产前超声检查,按常规顺序检查胎儿结构后,对胎儿颜面部及颈部透明带进行不同切面扫查。 结果 共筛查出11胎颜面部异常或可疑异常,其中1胎眼距窄,5胎鼻骨缺失或显示不清,3胎上颌显示不清,2胎唇腭裂;漏诊9胎颜面部畸形,包括单纯唇裂3胎,唇腭裂1胎,外耳形状或大小异常5胎,均经生后随访或引产后证实。 结论 超声在孕早期可以筛查出部分胎儿颜面部畸形,但有漏诊及误诊可能,对可疑异常者还应结合中孕期超声检查。 |
| 英文摘要: |
| Objective To assess the feasibility of ultrasound in diagnosis of fetus face malformations in early gestation. Methods Totally 13 611 pregnant women with gestational age of 11—13+6 weeks underwent ultrasonography. The fetus face and nuchal translucency were observed. Results Totally 11 fetuses of face malformations or suspected abnormality were diagnosed with ultrasound, including 1 narrow eye distance, 5 absence or unclear nasal bone, 3 unclear upper jaw and 2 cheilopalatognathus. Missed diagnosis occurred in 9 fetuses, including 3 of cleft lip, 1 of chilopalatognathus, 5 of external ear shape or size abnormality. All of the fetuses were confirmed with induced or postnatal follow-up. Conclusion It is feasible to diagnosis part of face malformation in early gestation with ultrasound, but missed diagnosis and misdiagnosis may occur. Ultrasonography in middle gestation is necessary for susceptible malformation. |
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