CAJ | 학술논문

目的：探究产前超声检查对单脐动脉合并胎儿先天性结构畸形的诊断价值。方法对大理州人民医院2008年7月至2012年7月产前筛查出的60胎单脐动脉合并先天性结构畸形胎儿的超声特点进行回顾性分析，然后分析其羊水染色体检查结果，并和产后新生儿特殊检查或引产后尸体解剖及病理检查结果进行比较分析。结果200例单脐动脉胎儿中，单脐动脉合并胎儿先天性结构畸形共60胎，发生率为30％，其中居前3位的分别是心血管系统、泌尿系统、中枢神经系统畸形。单脐动脉合并胎儿先天性结构畸形极为常见，其染色体异常的发生率与其种类呈正相关关系。结论产前超声检查可以较准确地诊断单脐动脉合并胎儿先天性结构畸形。
목적：탐구산전초성검사대단제동맥합병태인선천성결구기형적진단개치。방법대대리주인민의원2008년7월지2012년7월산전사사출적60태단제동맥합병선천성결구기형태인적초성특점진행회고성분석，연후분석기양수염색체검사결과，병화산후신생인특수검사혹인산후시체해부급병리검사결과진행비교분석。결과200례단제동맥태인중，단제동맥합병태인선천성결구기형공60태，발생솔위30％，기중거전3위적분별시심혈관계통、비뇨계통、중추신경계통기형。단제동맥합병태인선천성결구기형겁위상견，기염색체이상적발생솔여기충류정정상관관계。결론산전초성검사가이교준학지진단단제동맥합병태인선천성결구기형。
Objective To explore the diagnostic value of prenatal sonographic in the diagnosis of single umbili-cal artery combined fetal congenital malformations .Methods Sixty cases of single umbilical artery combined fetal congenital malformations fetus screened from July 2008 to July 2012 were analyzed retrospectively ,and then the datas that the amniotic fluid chromosome examination results ,the postpartum neonatal special check or after autopsy in-duction of labor and pathological examination results were analyzed .Results 200 cases of single umbilical artery fetal included 60 cases combined fetal congenital malformations ,the incidence rate was 30% ,the top three were the cardio-vascular system ,urinary system ,central nervous system malformations .Single umbilical artery combined fetal con-genital malformations was extremely common ,and the relationship between the incidence of chromosomal abnormali-ties and their species was positive correlation .Conclusion Prenatal ultrasound could accurately diagnose the single umbilical artery combined fetal congenital malformations .