CAJ | 학술논문

目的探讨产前超声诊断胎儿肢体-体壁综合征（LBWC）的价值，提高对LBWC的认识。资料与方法回顾性分析经产前超声诊断的20例胎儿LBWC的声像图表现及随访结果，分析胎儿LBWC的超声声像图特点。结果20例LBWC胎儿均有较大的体壁缺损及脊柱异常，其中16例腹壁缺损，4例胸腹壁缺损；脊柱异常中8例脊柱侧凸畸形，2例后凸畸形，3例扭曲成角，1例扭曲呈S形，6例椎体排列紊乱；脐带异常16例，11例脐带过短，1例无脐带，单脐动脉7例（3例伴脐带过短）；肢体异常5例，左下肢缺如2例，左上肢缺如1例，左足内翻、右足稍内翻1例，左足足尖下垂1例。结论产前超声检查可以及时发现并诊断胎儿LBWC，为临床早期干预提供依据。
목적탐토산전초성진단태인지체-체벽종합정（LBWC）적개치，제고대LBWC적인식。자료여방법회고성분석경산전초성진단적20례태인LBWC적성상도표현급수방결과，분석태인LBWC적초성성상도특점。결과20례LBWC태인균유교대적체벽결손급척주이상，기중16례복벽결손，4례흉복벽결손；척주이상중8례척주측철기형，2례후철기형，3례뉴곡성각，1례뉴곡정S형，6례추체배렬문란；제대이상16례，11례제대과단，1례무제대，단제동맥7례（3례반제대과단）；지체이상5례，좌하지결여2례，좌상지결여1례，좌족내번、우족초내번1례，좌족족첨하수1례。결론산전초성검사가이급시발현병진단태인LBWC，위림상조기간예제공의거。
PurposeTo explore the value of prenatal ultrasound in diagnosis of fetuses with limb body wall complex (LBWC).Material and MethodsThe ultrasound images and follow-up results were studied retrospectively in 20 cases of LBWC, and the ultrasonic features of LBWC were analyzed.ResultsAll 20 cases showed rather severe body wall defect and spinal abnormality, including 16 cases of abdominal wall defect, 4 cases of abdominal thoracoabdominal defect, 8 cases of idiopathic scoliosis, 2 cases of kyphosis, 3 cases of twist into a corner, 1 cases of distortion as S shape, and 6 cases of vertebral body arranged in disorder. Moreover, 16 cases presented abnormal umbilical cord,among which 11 had too short umbilical cord, 1 without umbilical cord, and 7 as single umbilical artery (3 cases with short cord). Five cases showed limb abnormalities, among which 2 cases were left lower limb absence, 1 cases as left upper limb absent, 1 cases as left foot varus and right foot slightly varus, and 1 cases as left foot drop.ConclusionPrenatal ultrasonography can accurately diagnose LBWC in time, so as to provide evidence for early clinical intervention.