中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
7期
111-112
,共2页
胎儿%系统性筛查%外耳%畸形
胎兒%繫統性篩查%外耳%畸形
태인%계통성사사%외이%기형
Fetus%Systemic screening%External ear%Deformity
目的：探讨系统性筛查胎儿外耳畸形的声像图特征及临床应用价值。方法：随访本院进行系统性胎儿筛查检查的孕妇，其中胎儿外耳畸形16例，对其声像图资料进行回顾性分析，分析其漏诊误诊原因。结果：系统性胎儿筛查出11例胎儿外耳畸形，漏诊5例。其中单耳小耳7例，耳低位2例，双侧无耳畸形、双耳小耳各1例，其中5例伴羊水过多，合并无脑儿、脐膨出、房室共道畸形、肢体畸形各1例。9例行染色体核型分析，诊断为唐氏综合征4例，18-3体3例。结论：胎儿外耳畸形有其特殊的声像图表现，系统性筛查胎儿外耳可为产前诊断胎儿畸形提供丰富的诊断信息。值得注意的是其中有3例不伴明显它处畸形的小耳，唐氏综合征2例，18-3体1例；其中1例耳低位是18-3体。
目的：探討繫統性篩查胎兒外耳畸形的聲像圖特徵及臨床應用價值。方法：隨訪本院進行繫統性胎兒篩查檢查的孕婦，其中胎兒外耳畸形16例，對其聲像圖資料進行迴顧性分析，分析其漏診誤診原因。結果：繫統性胎兒篩查齣11例胎兒外耳畸形，漏診5例。其中單耳小耳7例，耳低位2例，雙側無耳畸形、雙耳小耳各1例，其中5例伴羊水過多，閤併無腦兒、臍膨齣、房室共道畸形、肢體畸形各1例。9例行染色體覈型分析，診斷為唐氏綜閤徵4例，18-3體3例。結論：胎兒外耳畸形有其特殊的聲像圖錶現，繫統性篩查胎兒外耳可為產前診斷胎兒畸形提供豐富的診斷信息。值得註意的是其中有3例不伴明顯它處畸形的小耳，唐氏綜閤徵2例，18-3體1例；其中1例耳低位是18-3體。
목적：탐토계통성사사태인외이기형적성상도특정급림상응용개치。방법：수방본원진행계통성태인사사검사적잉부，기중태인외이기형16례，대기성상도자료진행회고성분석，분석기루진오진원인。결과：계통성태인사사출11례태인외이기형，루진5례。기중단이소이7례，이저위2례，쌍측무이기형、쌍이소이각1례，기중5례반양수과다，합병무뇌인、제팽출、방실공도기형、지체기형각1례。9례행염색체핵형분석，진단위당씨종합정4례，18-3체3례。결론：태인외이기형유기특수적성상도표현，계통성사사태인외이가위산전진단태인기형제공봉부적진단신식。치득주의적시기중유3례불반명현타처기형적소이，당씨종합정2례，18-3체1례；기중1례이저위시18-3체。
Objective:To explore the ultrasonic characteristics and clinical application value of systemic screening on the fetal external ear deformity.Methods:The pregnant woman with systemic fetus screening in our hospital were followed up,including 16 cases were fetal external ear deformity.The ultrasonographic data were retrospectively analyzed,and the misdiagnosis and misdiagnosis reasons were analyzed.Results:11 cases were fetal external ear deformity by the systemic fetus screening,and 5 cases were misdiagnosis.Among 7 cases were single ear microtia, 2 cases were ear low,1 case was double side anotia,1 case was double ears microtia,including 5 cases with polyhydramnios,combined with anencephaly,omphalocele,common atrioventricular canal malformation,limb deformity in 1 case.9 cases were given karyotype analysis;4 cases were diagnosed as 21-3 body;3 cases were 18-3 body.Conclusion:Fetal external ear deformity has its special ultrasonographic manifestations,systemic screening for fetal external ear can provide abundant diagnostic information for prenatal diagnosis of fetal malformation.It is worth noting in which there are 3 patients without obvious other small ear deformity,2 cases are 21-3 body,1 case is 18-3 body,among 1 case of ear low is 18-3 body.
