CAJ | 학술논문

目的：探讨产前超声筛查在胎儿神经管缺陷中的应用价值。方法参考国际妇产超声学会（ISUOG）操作规范，对2008年2月－2014年2月在新疆医科大学第一附属医院就诊的3056例孕妇进行了产前超声筛查，系统检查胎儿头颅、脊柱等结构，对其病例资料进行回顾性分析。结果3056例胎儿中共检出胎儿神经管缺陷87例，其中脑室扩张32例，前脑无裂畸形5例，无脑儿11例，露脑畸形1例，脉络膜囊肿8例，Dandy-walker 畸形3例，脑脊膜膨出4例，脑膜脑膨出2例，脊柱裂19例，半椎体畸形2例。结论产前超声筛查能够最大限度地检出胎儿神经管畸形，对减少漏诊率、降低医疗风险具有重要的临床意义。
목적：탐토산전초성사사재태인신경관결함중적응용개치。방법삼고국제부산초성학회（ISUOG）조작규범，대2008년2월－2014년2월재신강의과대학제일부속의원취진적3056례잉부진행료산전초성사사，계통검사태인두로、척주등결구，대기병례자료진행회고성분석。결과3056례태인중공검출태인신경관결함87례，기중뇌실확장32례，전뇌무렬기형5례，무뇌인11례，로뇌기형1례，맥락막낭종8례，Dandy-walker 기형3례，뇌척막팽출4례，뇌막뇌팽출2례，척주렬19례，반추체기형2례。결론산전초성사사능구최대한도지검출태인신경관기형，대감소루진솔、강저의료풍험구유중요적림상의의。
Objective To evaluate the clinical value of standardized ultrasound screening for fetal central nerve system abnormalities.Methods During the period of Feb.2008 and Feb.2014 3 056 pregnancy women were subjected to ultrasound screening in our hospital.The structures,such as the head and spine were scanned in detail.Results Eighty-seven fetus with fetal central nerve system abnormalities were ex-amined prenatally by ultrasound and each showed typical imaging feature.Among these cases,there were 32 cases of hydrocephalus,5 cases of holoprosencephaly,11 cases of anencephaly,1 cases of iniencephaly, 8 cases of choroid plexus cysts,3 cases of Dandy-Walker complex,6 cases of cephalocele,19 cases of spina bifida and 2 cases of scoliosis.Conclusion Standardized ultrasound screening is of great value to screen fe-tal abnormality,which can reduce the risk of medical treatment in fetal abnormality screening.