J4 ›› 2011, Vol. 10 ›› Issue (8): 73-75.

• 临床医学 • 上一篇    下一篇

胎儿四肢骨骼系统发育畸形的产前超声诊断

  

  1. 攀枝花市妇幼保健院,四川攀枝花 617000
  • 收稿日期:2011-06-29 出版日期:2011-08-15 发布日期:2011-08-15
  • 作者简介:伍文霞,副主任医师,主要从事医学影像学研究.

Prenatal Ultrasound Diagnosis of Fetal Limb Skeletal System Malformations

  1. Panzhihua Maternity and Children Care Hospital, Panzhihua, Sichuan 617000, China
  • Received:2011-06-29 Online:2011-08-15 Published:2011-08-15

摘要:

目的:探讨产前超声诊断胎儿四肢骨骼系统发育畸形的临床价值。方法:回顾性分析32例胎儿四肢骨骼系统发育畸形的
超声声像图特点,与产后或引产后X线检查或尸检结果对照。结果:产前超声诊断32例胎儿四肢骨骼系统发育畸形与产后及引产后X线检查或尸检结果完全相符,其中致死性侏儒畸形6例,四肢短小畸形4例,肢体屈曲畸形2例,双侧上肢尺桡骨缺如畸形1例,一侧上肢桡骨缺如畸形1例,上肢缺如畸形2例,下肢缺如畸形3例,手足多指(趾)畸形2例,足缺(趾)畸形1例,马蹄内翻足畸形9例,人体鱼序列征1例。结论:产前超声检查诊断胎儿四肢骨骼系统发育畸形准确率高,且安全、无创、无辐射、可重复检查,是产前诊断胎儿四肢骨骼系统发育畸形的有效方法。

关键词: 胎儿四肢骨骼系统发育畸形, 超声检查, 产前诊断

Abstract:

Objective:To investigate the clinical value of prenatal ultrasound diagnosis of fetal skeletal malformations in the limbs.
Methods:Retrospective analysis of ultrasonographic features in 32 cases of fetal skeletal malformations of the limbs was conducted,the results were compared to the X-ray examination results and autopsy results postpartum or after induced abortion. Results:Prenatal ultrasound diagnosis of 32 cases of fetal limb skeletal system malformations matched the results of X-ray examination and the results from autopsy postpartum or after induced abortion. Among the 32 cases, there were 6 cases of dwarf lethal deformity, 4 cases of short limbs deformity, 2 cases of limb flexion deformity, 1 case of bilateral absence of upper limb deformity of radius and ulna, 1 case of absence of one side of the upper radial deformity, 2 cases of absence of upper limb deformity, 3 cases of absence of lower limb deformity, 2 cases of hand-foot multi-finger(toe)deformity, 1 case of foot missing(toe)malformation, 9 cases of clubfoot deformity,
and 1 case of sequence of human fish levy. Conclusion: Being accurate, safe, non-invasive, non-radiative and repeatable, prenatal ultrasound diagnosis of fetal limb skeletal system was an effective way.

Key words: fetal limb skeletal system malformations, ultrasonography, prenatal diagnosis

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