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超声诊断胎儿唇腭裂畸形的价值及其漏诊原因分析

The Value of Ultrasound in Diagnosis of Fetal Cleft Lip and Palate Deformity
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摘要 目的:研究胎儿唇腭裂畸形诊断中应用超声的价值及漏诊原因分析。方法:回顾性分析2017年1月~2019年12月本院与上级医院会诊确诊的16例胎儿唇腭裂畸形者资料,观察其二维超声图像,总结二维超声的检出情况与漏诊情况,并分析漏诊原因。结果:①16例病例共计30处缺损,于产后或引产后予以证实,超声确诊15例,包括:0例唇裂、15例唇腭裂(合并双侧7例、单侧8例),共计27处缺损(漏诊3处Ⅰ度腭裂),唇腭裂畸形确诊率是90.00%(27/30);②腭裂裂隙宽2.8~9.1mm,平均(6.2±1.5)mm;唇裂裂隙宽2.6~11.8mm,平均(7.0±1.1)mm。结论:产前进行超声检查可有效确诊胎儿唇腭裂畸形,有利于实现优生优育。 Objective:To study the value of ultrasound and the causes of missed diagnosis in the diagnosis of fetal cleft lip and palate.Methods:Retrospectively analyze the data of 16 cases of fetal cleft lip and palate malformation diagnosed by our hospital from January 2017 to December 2019,observe their two-dimensional ultrasound images,and summarize the detection and missed diagnosis of two-dimensional ultrasound.And analyze the reasons for missed diagnosis.Results:①A total of 30 defects in 16 cases were confirmed after delivery or induction of labor,and 15 cases were confirmed by ultrasound,including:0 cases of cleft lip and 15 cases of cleft lip and palate(combined with 7 cases on both sides and 8 cases on one side),a total of 27 cases Defects(missed 3 first degree cleft palate),the diagnosis rate of cleft lip and palate deformity is 90.00%(27/30);②The width of cleft palate is 2.8~9.1mm,average(6.2±1.5)mm;the width of cleft lip cleft is 2.6~11.8mm,average(7.0±1.1)mm.Conclusion:Prenatal ultrasound examination can effectively diagnose fetal cleft lip and palate malformation and achieve eugenics and eugenics.
作者 马侠 MA Xia(Anshan Jinpu Hospital,Liaoning Anshan 114000)
机构地区 鞍山金普医院
出处 《中国医疗器械信息》 2021年第17期94-95,共2页 China Medical Device Information
关键词 超声 胎儿唇腭裂畸形 漏诊原因 ultrasound fetal cleft lip and palate deformity causes of missed diagnosis
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