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胎儿四肢骨骼系统发育畸形的产前超声诊断 被引量:4

Prenatal Ultrasound Diagnosis of Fetal Limb Skeletal System Malformations
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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。 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.
出处 《大理学院学报(综合版)》 CAS 2011年第8期73-75,共3页 Journal of Dali University
关键词 胎儿四肢骨骼系统发育畸形 超声检查 产前诊断 fetal limb skeletal system malformations ultrasonography prenatal diagnosis
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