CAJ | 학술논문

目的：探讨产前采用超声检查在胎儿肢体畸形筛检中的诊断意义。方法选取600名妊娠16~40周的孕妇，从检测到成形胎儿开始，对所有孕妇定时进行产前超声检查，观察胎儿的畸形情况，分析胎儿胎位及生长状况，并与产后诊断结果进行比较，分析产前超声检查对胎儿肢体畸形诊断的优势。结果在本次研究中，产前超声检查发现8种胎儿肢体畸形，共11例，2例误诊，确诊率为84.6%。畸形胎儿中四肢短小、足内翻、手脚姿势异常及并指并趾较为常见。结论在中孕期对孕妇进行产前超声检查，能够尽早发现胎儿肢体畸形，诊出率高，值得临床推广应用。
목적：탐토산전채용초성검사재태인지체기형사검중적진단의의。방법선취600명임신16~40주적잉부，종검측도성형태인개시，대소유잉부정시진행산전초성검사，관찰태인적기형정황，분석태인태위급생장상황，병여산후진단결과진행비교，분석산전초성검사대태인지체기형진단적우세。결과재본차연구중，산전초성검사발현8충태인지체기형，공11례，2례오진，학진솔위84.6%。기형태인중사지단소、족내번、수각자세이상급병지병지교위상견。결론재중잉기대잉부진행산전초성검사，능구진조발현태인지체기형，진출솔고，치득림상추엄응용。
Objective To explore the diagnostic significance of ultrasonography in the antenatal screening of fetal limb deformity. Methods A total of 600 pregnant women within 16 to 40 weeks were selected. They had all received antena-tal ultrasonography regularly since the detection of full fetus. Fetal deformity was observed and fetal position and growth condition were analyzed. The results were compared with postnatal diagnostic results, and the advantages of an-tenatal ultrasonography towards the diagnosis of fetal limb deformity were analyzed. Results In this study, 8 types of limb deformity were observed via antenatal ultrasonography, altogether 11 infants. 2 infants were missed diagnosis. The confirmed diagnosis rate was 84.6%. Among the deformed infants, shortening of the limbs, strephenopodia, abnormal hand and foot positions and syndactylia were commonly seen. Conclusion Antenatal ultrasonography for pregnant wom-en during the second trimester helps detect the fetal limb deformity in a timely basis, which has a high diagnosis rate and is worthy of clinical promotion.