CAJ | 학술논문

目的探讨羊膜带在产前诊断中的意义,发现羊膜带综合征所致的胎儿畸形,为产前咨询和临床处理方案的选择提供有价值的参考资料.方法回顾性分析13例经尸解或引产后追踪证实的胎儿羊膜带综合征声像图资料,重点分析羊水暗区内漂浮光带的来源、性质,胎儿畸形的部位、程度,漂浮光带是否与胎儿畸形部位粘连.总结胎儿羊膜带综合征的超声诊断特点及鉴别诊断,分析漏诊、误诊的原因.结果羊膜带综合征共13例,产前超声确诊9例,多发畸形7例,单发畸形2例；漏诊2例；误诊2例.结论超声能清晰显示羊膜带的形态,并能检出粘连所致的胎儿畸形类别,从而对胎儿羊膜带综合征作出准确的产前诊断,对选择临床处理方案及降低围产期死亡率具有重要意义.
목적 탐토양막대재산전진단중적의의,발현양막대종합정소치적태인기형,위산전자순화림상처리방안적선택제공유개치적삼고자료.방법 회고성분석13례경시해혹인산후추종증실적태인양막대종합정성상도자료,중점분석양수암구내표부광대적래원、성질,태인기형적부위、정도,표부광대시부여태인기형부위점련.총결태인양막대종합정적초성진단특점급감별진단,분석루진、오진적원인.결과 양막대종합정공13례,산전초성학진9례,다발기형7례,단발기형2례；루진2례；오진2례.결론 초성능청석현시양막대적형태,병능검출점련소치적태인기형유별,종이대태인양막대종합정작출준학적산전진단,대선택림상처리방안급강저위산기사망솔구유중요의의.
Objective To explore the significance of amniotic band in prenatal diagnosis, to find fetal abnormalities caused by amniotic band syndrome,and to provide valuable reference for prenatal counseling and for choice of clinical management.Methods The ultrasonic data on 13 cases of amniotic band syndrome confirmed by autopsy or examination after induced labor were retrospectively analyzed.The sources and features of floating band in the amniotic fluid dark areas, the location and extent of fetal abnormalities,and the adhesion of the floating band with the abmoral parts of the futus were analyzed.The reasons for missed diagnosis and misdiagnosis were determined by analyzing the ultrasonic features and differential diagnosis of amniotic band syndrome.Resulte 9 of 13 cases of amniotic band syndrome were confirmed by ultrasound, 7 of which were multiple abnormalities and 2 were single.2 cases were not diagnosed and 2 were misdiagnosed.Conclusions Ultrasonic examination can accurately detect amniotic band syndrome by clearly revealing the shape of amniotic band and the types of abnormalities caused by adhesion.It is of important significance in the selection of treatment plans and the reduction of perinatal mortality.