CAJ | 학술논문

目的：评价中孕期连续顺序追踪超声扫查法检测胎儿肢体畸形的临床应用效果，为临床诊治工作提供可靠的参考依据。方法选取2010年1月－2013年5月在乌鲁木齐市第一人民医院接受产前检查的中孕期孕妇5796例，采取连续顺序追踪超声扫查法对胎儿肢体进行检测，对检查结果进行分析。结果5796例孕妇中胎儿肢体异常32例，产前超声检出27例（84．4％，27／32）9种42处肢体畸形；漏诊5例（15．6％，5／32）7处肢体畸形。32例肢体畸形中，27例合并其他畸形（84．4％，27／32），主要有神经管畸形、全前脑、腹裂、脐膨出、心脏畸形、唇腭裂等。单纯肢体畸形5例，3例为足内翻，1例为短肢畸形，1例为多发肢体畸形。结论连续顺序追踪超声扫查法是显示胎儿肢体结构与诊断胎儿肢体畸形的重要影像学方法。
목적：평개중잉기련속순서추종초성소사법검측태인지체기형적림상응용효과，위림상진치공작제공가고적삼고의거。방법선취2010년1월－2013년5월재오로목제시제일인민의원접수산전검사적중잉기잉부5796례，채취련속순서추종초성소사법대태인지체진행검측，대검사결과진행분석。결과5796례잉부중태인지체이상32례，산전초성검출27례（84．4％，27／32）9충42처지체기형；루진5례（15．6％，5／32）7처지체기형。32례지체기형중，27례합병기타기형（84．4％，27／32），주요유신경관기형、전전뇌、복렬、제팽출、심장기형、진악렬등。단순지체기형5례，3례위족내번，1례위단지기형，1례위다발지체기형。결론련속순서추종초성소사법시현시태인지체결구여진단태인지체기형적중요영상학방법。
Objective To study fetal limb deformities in the second trimester detected by continuous se‐quence ultrasound scanning method to evaluate and analyze its clinical application to provide a reliable ref ‐erence for the future clinical diagnosis and treatment .Methods Since January 2010 to May 2013 5 796 pregnant women had been administered antenatal examination .The results of fetal limb detected by contin‐uous sequence ultrasound scanning method were analyzed retrospectively .Results There were 32 cases with fetal limb abnormalities among 5 796 pregnant women ,27 cases in prenatal ultrasound detection (84 .4% ,27/32) .9 kinds of 42 limb deformities ,5 cases of missed diagnosis (15 .6% ,5/32) ,7 limb de‐formities .32 cases of limb deformities in 27 cases were associated with other malformations (84 .4% ,27/32) .There were neural tube defects ,the whole forebrain ,gastroschisis ,omphalocele ,heart defects ,cleft lip and palate ,etc .Only 5 cases of limb deformities alone ,3 cases of varus ,1 case of short limb deformi‐ties and1 case of multiple limb deformities .Conclusion Continuous sequence ultrasound scanning method is an important imaging methods showing fetal limb structure and diagnosis of fetal limb deformities .