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彩色多普勒超声产前诊断胎儿前腹壁畸形
引用本文:赵新美,吴春燕,陈雷.彩色多普勒超声产前诊断胎儿前腹壁畸形[J].中国医学影像技术,2011,27(1):147-150.
作者姓名:赵新美  吴春燕  陈雷
作者单位:无锡市人民医院超声科,江苏,无锡,214023
摘    要: 目的 探讨彩色多普勒超声(CDU)在产前诊断胎儿前腹壁畸形(AAWDs)中的价值。方法 回顾性分析21胎经引产或随访证实的胎儿AAWDs声像图特征。结果 21胎AAWDs中,8胎为腹裂,10胎为脐膨出,3胎为体蒂异常。CDU确诊19胎,误诊2胎,诊断准确率90.48%。结论 CDU通过辨认胎儿脐带与AAWDs的关系,能较准确地显示AAWDs的病理特征,在胎儿AAWDs的诊断与鉴别诊断中起重要作用。

关 键 词:前腹壁畸形    超声检查  多普勒  彩色    胎儿
收稿时间:2010/8/16 0:00:00
修稿时间:2010/9/16 0:00:00

Prenatal diagnosis of fetal anterior abdominal wall defects with color Doppler ultrasonography
ZHAO Xin-mei,WU Chun-yan and CHEN Lei.Prenatal diagnosis of fetal anterior abdominal wall defects with color Doppler ultrasonography[J].Chinese Journal of Medical Imaging Technology,2011,27(1):147-150.
Authors:ZHAO Xin-mei  WU Chun-yan and CHEN Lei
Institution:Department of Ultrasound, Wuxi People's Hospital, Wuxi 214023, China;Department of Ultrasound, Wuxi People's Hospital, Wuxi 214023, China;Department of Ultrasound, Wuxi People's Hospital, Wuxi 214023, China
Abstract:Objective To investigate the value of color Doppler ultrasonography (CDU) in diagnosis of prenatal fetal anterior abdominal wall defects (AAWDs). Methods The sonographic features of 21 fetuses with AAWDs confirmed with induced labor or follow-up were analyzed retrospectively. Results There were 21 AAWDs fetuses, included 8 gastroschisis, 10 omphalocele and 3 body stalk anomaly. Nineteen in 21 fetuses were diagnosed with CDU, while 2 were misdiagnosed. The ultrasonographic diagnostic accuracy was 90.48%. Conclusion CDU can identify the relationship between the defects and the umbilical cord, and thus accurately demonstrate the pathologic features of AAWDs, playing an important role in diagnosis and differential diagnosis of AAWDs.
Keywords:Anterior abdominal wall defects  Ultrasonography  Doppler  color  Fetus
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