CAJ | 학술논문

目的：探讨14～17＋6孕周超声筛查胎儿畸形的临床价值。方法回顾性分析2012－2014年在我院进行超声检查的14～17＋6孕周胎儿1200例，对其进行标准切面检查，包括测量胎儿双顶径、腹围、股骨长、羊水及胎儿心率，观察头颅、心脏、腹部及脊柱、四肢。结果受检的1200例胎儿中，37例胎儿发现结构异常。其中胎儿水肿6例（包括颈部水囊瘤4例），脉络丛囊肿10例，露脑畸形3例，全前脑3例，脐膨出2例，心脏异常5例，肢体异常2例，脊柱异常2例，巨膀胱3例，连体双胎1例。结论14～17＋6孕周的超声检查可以有效地检出胎儿畸形，是产前超声筛查胎儿畸形的重要阶段。
목적：탐토14～17＋6잉주초성사사태인기형적림상개치。방법회고성분석2012－2014년재아원진행초성검사적14～17＋6잉주태인1200례，대기진행표준절면검사，포괄측량태인쌍정경、복위、고골장、양수급태인심솔，관찰두로、심장、복부급척주、사지。결과수검적1200례태인중，37례태인발현결구이상。기중태인수종6례（포괄경부수낭류4례），맥락총낭종10례，로뇌기형3례，전전뇌3례，제팽출2례，심장이상5례，지체이상2례，척주이상2례，거방광3례，련체쌍태1례。결론14～17＋6잉주적초성검사가이유효지검출태인기형，시산전초성사사태인기형적중요계단。
Objective To evaluate the value of ultrasonography in screening fetal anomaly at 14 to 17 +6 weeks.Methods A total of 1200 women at 14 to 17+6 weeks of gestation were analyzed retrospectively .We measured the biparietal diameter , abdominal circumference, femur length, amniotic fluid and fetal heart rate, and observed the head, heart, abdomen, spine and limbs. Results It was found that 37 fetuses had structural malformations , including 6 cases of hydrops , 10 cases of choroid plexus cysts , 3 cases of exencephaly , 3 cases of holoprosencephaly , 2 cases of omphalocele , 5 cases of congenital heart disease , 2 cases of limb de-formity, 2 cases of spine deformity , 3 cases of megabladder , 1 case of conjoined twins .Conclusions It is effective to screen fetal a-nomaly at 14 to 17 +6 weeks by ultrasonography and it is important for early fetal diagnosis .