摘要
目的分析并评价早期常规超声检查配合使用高频探头对孕妇实施动态监测的方法对检出胎儿胆囊异常的临床应用价值。方法对我院自2009年12月至2012年1月期间收治的产前检查孕妇5400例,采用常规超声检查配合使用高频探头实施动态监测胎儿的胆囊状况。结果经早期常规超声检查,全部5400例孕妇中共查出8例胎儿胆囊异常者,再使用高频探头对其实施动态监测,其中5例胆囊未显示,2例为胆囊内强回声,1例为双胆囊。5例胆囊未显示者中有4例通过产前复查以及产后证实胆囊无异常,余者1例通过产前复查均未见胆囊,通过产后证实为先天胆囊缺如;2例胆囊强回声者通过产前复查及产后证实为胆囊结石,但在胎儿出生后半年内结石均消失;1例双胆囊者通过产后复查证实为先天胆总管囊状扩张疾病。结论采用超声检查可以较好地检查胎儿胆囊异常,再使用高频探头对其实施动态监测,可以对胎儿胆囊异常做出进一步的明确诊断。
Objective To analyze and evaluate the clinical application value of routine ultrasound examination in pregnant women with the use of high frequency probe for dynamic monitoring in the detection of abnormal fetal gallbladder.Methods 5 400 pregnant women with prenatal examination in our hospital from December 2009 to January 2012 received the conventional ultrasound with high frequency probe for dynamic monitoring of fetal gallbladder status.Results The results of early percutaneous ultrasound examination showed 8 cases of fetal gallbladder abnormalities among 5 400 pregnant women,and the results of dynamic monitoring by high-frequency probe showed 5 cases of displayed gallbladder,2 cases of gallbladder with strong echo,one case of double gallbladder.Among 5 cases of displayed gallbladder,4 cases were confirmed with no gallbladder abnormalities by prenatal and postpartum review,and the other was confirmed with congenital gallbladder absence by postpartum review.2 cases of gallbladder with strong echo were confirmed with gallstones by prenatal and postnatal review,and the gallstones were disappeared within postnatal six months.One case of double gallbladder was confirmed with congenital choledochal cyst by postpartum recheck.Conclusions Ultrasound examination can check the fetal gallbladder abnormalities,and high-frequency probe for dynamic monitoring can make further diagnosis of the fetal gallbladder abnormalities.
出处
《临床医学工程》
2012年第7期1046-1047,共2页
Clinical Medicine & Engineering
关键词
产前超声诊断
高频探头
胎儿胆囊异常
应用价值
Prenatal ultrasound diagnosis
High frequency probe
Fetal gallbladder abnormality
Application value