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经腹联合经阴道超声诊断11-13+6胎儿体蒂异常的价值
引用本文:胡雪飞,彭树新,郭津含,易艳,陈丽雅,高建国,陈静.经腹联合经阴道超声诊断11-13+6胎儿体蒂异常的价值[J].中国医学影像技术,2014,30(11):1712-1715.
作者姓名:胡雪飞  彭树新  郭津含  易艳  陈丽雅  高建国  陈静
作者单位:暨南大学第二临床医学院 深圳市人民医院龙华分院超声科, 广东 深圳 518109;暨南大学第二临床医学院 深圳市人民医院龙华分院超声科, 广东 深圳 518109;暨南大学第二临床医学院 深圳市人民医院龙华分院超声科, 广东 深圳 518109;暨南大学第二临床医学院 深圳市人民医院超声科, 广东 深圳 518020;吴川市人民医院超声科, 广东 吴川 524500;孝感市第一人民医院超声科, 湖北 孝感 432100;暨南大学第二临床医学院 深圳市人民医院龙华分院超声科, 广东 深圳 518109
摘    要:目的 探讨经腹联合经阴道超声诊断11~13+6周胎儿体蒂异常(BSA)的价值。方法 回顾性分析11~13+6周经腹联合经阴道超声诊断的BSA胎儿声像图特征。结果 超声诊断的11胎BSA胎儿, 均经引产证实, 超声诊断准确率100%, 11胎均存在腹(胸)壁缺损内脏外翻及脐带异常, 10胎脊柱侧弯曲或扭曲, 6胎肢体发育异常, 3胎颅脑畸形、均可见羊膜束带;颈部淋巴水囊瘤2胎, 颈项透明层增厚3胎。结论 经腹联合经阴道超声诊断11~13+6周胎儿BSA方便、准确, 对BSA的早期诊断具有重要价值。

关 键 词:超声检查  早孕期  胎儿  体蒂异常
收稿时间:2014/6/13 0:00:00
修稿时间:2014/9/30 0:00:00

Clinical value of transabdominal sonography combined with transvagina sonography in diagnosis of body stalk anomaly during 11-13+6 weeks
HU Xue-fei,PENG Shu-xin,GUO Jin-han,YI Yan,CHEN Li-y,GAO Jian-guo and CHEN Jing.Clinical value of transabdominal sonography combined with transvagina sonography in diagnosis of body stalk anomaly during 11-13+6 weeks[J].Chinese Journal of Medical Imaging Technology,2014,30(11):1712-1715.
Authors:HU Xue-fei  PENG Shu-xin  GUO Jin-han  YI Yan  CHEN Li-y  GAO Jian-guo and CHEN Jing
Institution:Department of Ultrasound, the Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Longhua Branch, Shenzhen 518109, China;Department of Ultrasound, the Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Longhua Branch, Shenzhen 518109, China;Department of Ultrasound, the Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Longhua Branch, Shenzhen 518109, China;Department of Ultrasound, the Second Clinical Medical College of Jinan University, Shenzhen People's Hospital, Shenzhen 518020, China;Department of Ultrasound, Wuchuan People's Hospital, Wuchuan 524500, China;Department of Ultrasound, the Frist People's Hospital of Xiaogan, Xiaogan 432100, China;Department of Ultrasound, the Second Clinical Medical College of Jinan University, Shenzhen People's Hospital Longhua Branch, Shenzhen 518109, China
Abstract:Objective To explore the clinical value of the combination of transabdominal sonography (TAS) and transvaginal sonography (TVS) in the diagnosis of body stalk anomaly (BSA) during 11-13+6 weeks. Methods The ultrasound images of fetuses with BSA during 11-13+6 weeks underwent the TAS combined with TVS was analyzed retrospectively. Results A total of 11 fetuses with BSA were diagnosed, and all of them were confirmed by the results of induced labor, the accuracy of prenatal ultrasonic diagnosis was 100%. Eleven fetuses were characterized by the abdominal (thorax) wall defect, exstrophy viscera and umbilical cord abnormality, 10 fetuses were found with scoliosis or spinal twist, 6 fetuses with limb deformities, 3 fetuses with brain malformation and the amniotic band, 2 fetuses with cystic hygroma and 3 fetus with nuchal translucency thickening. Conclusion The combination of TAS and TVS was a convenient and accurate method in the diagnosis of BSA during 11-13+6 weeks. It has remarkable value for the early diagnosis of BSA.
Keywords:Ultrasonography  First trimester  Fetus  Body stalk anomaly
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