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规范化超声诊断妊娠11~13 +6周胎儿神经管畸形的临床价值
陈思佳,刘学彬,张慧,杨姣,袁莉
0
(川北医学院第二临床医学院·南充市中心医院超声科)
摘要:
【摘要】目的 探讨超声诊断妊娠11~13 +6周胎儿神经管畸形(NTDs)的临床价值。方法 选择2014年12月~2016年12月于南充市中心医院产检的2638例妊娠11~13 +6周孕妇,进行规范化早孕期产前超声检查,追踪检出的NTDs胎儿及其余胎儿的引产结果和妊娠结局。结果 妊娠11~13 +6周超声NTDs总检出率71.43%(10/14),无脑畸形检出率为100%(3/3),露脑畸形检出率100%(1/1),脑膜脑膨出检出率100 %(2/2),全前脑畸形检出率50%(1/2),脊柱裂及脊髓脊膜膨出检出率50%(3/6)。NTDs异常声像表现均可在存留标准图像中进行观察和诊断。 结论 规范化超声检查对妊娠11~13 +6周严重NTDs胎儿的确诊率高,可在临床推广应用。
关键词:  超声诊断  早期妊娠  胎儿神经管畸形
DOI:
基金项目:四川省医学会青年创新课题(2015Q15072)
The clinical value of standardized ultrasound in diagnosing fetal neural tube defects during 11~13 +6 weeks’gestation
CHEN Sijia,LIU Xuebin,ZHANG Hui,YANG Jiao,YUAN Li
(Department of Ultrasound, Nanchong Central Hospital, The Second Affiliated Hospital of North Sichuan Medical University)
Abstract:
【Abstract】 Objective To analyze the clinical value of standardized ultrasound in diagnosing fetal neural tube defects (NTDs) during 11~13 +6 weeks’gestation. Methods During December 2014 to December 2016, 2638 pregnant women during 11~13 +6 weeks’gestation from Nanchong Central Hospital were detected with standardized ultrasound. Keep track of NTDs fetuses induced labor results and normal fetuses pregnancy outcome. Results The total detection rate of NTDs was 71.43% during 11~13 +6 weeks’gestation. Tthe detection rates of anencephaly, exencephaly, meningoceles and encephalocele, holoprosencephaly and rachischisis were 100%,100%,100%,50% and 50%, respectively. The Ultrasonic features of NTDs were observed and diagnosed in standardized views. Conclusion The standardized ultrasound during 11~13 +6 weeks’gestation is effective in detection of serious NTDs.
Key words:  Ultrasonography  Early pregnancy  Fetal neural tube defects

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