摘要
目的 探讨胎儿甲状腺肿大超声诊断标准、方法及临床价值。方法 收集孕龄为 13～ 4 0周健康孕妇引产的无畸形胎儿 2 81例 ,行胎儿颈部解剖原位测量胎儿左、右甲状腺的上下径、前后径、左右径 ,作为不同孕龄胎儿左、右甲状腺各径线正常超声测量值 ;对 112例高危胎儿进行甲状腺肿大产前超声检查筛选诊断。结果 胎儿甲状腺上下径、前后径、左右径随胎龄增长而增大 ,与孕龄呈高度相关性 (r分别为 0 90 ,0 76 ,0 81,P <0 0 1)。超声检测 112例高危胎儿中 ,诊断胎儿甲状腺肿大 80例。结论 超声检查对胎儿甲状腺肿大能够做出产前诊断 ,可为临床评价胎儿甲状腺功能异常提供参考依据 。
Objective To detect the diagnostic standard ,methodsand clinical value of the fetal goiter.Methods To collect 281 cases healthy induce labored fetus with13～40weeks′ fetal ages and no congenital deformities,the cervical anatomy was done to detect the anteroposterior diameter,superoinferior diameter and transver diameter of fetal thyroid gland,as the normal data according to different fetal ages;while selective diagnosis using thyroid ultrasonography was done on 112 cases fetus with high risk pregnancy.Results The fetal thyroid diameters increase with the fetal ages,and show high relativity the pregnancy date (the r is 0.9032,0.7641,and 0.8132 accordingly,P<0.01).Within 112 high risk cases,80 cases were diagnosed as fetal goiter.Conclusion The ultrasonography can do the prenatal diagnosis of the fetal goiter,and can refer the clinical data to analyze the fetal thyroid function,and it also can be helpful to the obstetrician to determine using the interfering methods or not.
出处
《中国全科医学》
CAS
CSCD
2004年第20期1475-1476,共2页
Chinese General Practice
基金
山东省科学技术进步三等奖 [K2 0 0 4 - 3 - 1 3(1 ) - 4 ]
