發(fā)布時間：2018-04-24 11:26

  本文選題：早孕期 + 頸項透明層�。� 參考：《安徽醫(yī)科大學學報》2015年05期

【摘要】：目的探討早孕期規(guī)范化超聲檢查在胎兒畸形篩查中的應用價值。方法選取行11~13+6周早孕期篩查的孕婦2 670例,采用常規(guī)經腹探查,按規(guī)范化序貫方法觀察胎兒整體解剖結構并測量頸項透明層(NT)厚度,對陽性病例追蹤隨訪至產后,并將嚴重畸形結果與引產后病理做對照分析。結果發(fā)現畸形胎兒17例,包含畸形總數27例,其中脊柱側彎1例,無腦兒2例,露腦畸形1例,無葉全前腦1例,頸部水囊瘤6例,唇腭裂1例,胎兒水腫9例,心臟異常2例,臍膨出2例,下肢發(fā)育異常1例,巨膀胱1例,除2例心臟結構異常外均經引產證實。NT值≥3.0 mm 32例,其中染色體異常3例(羊水穿刺證實2例為21-三體綜合征、1例為18-三體綜合征)、頸部水囊瘤6例、全身水腫3例、胎死宮內1例,余產后正常。另檢出5例鼻骨缺失,2例經羊水穿刺證實為21-三體綜合征,1例胎死宮內,2例產后正常。結論早孕期規(guī)范化檢查可以較早發(fā)現胎兒嚴重結構畸形,對產前診斷具有較大臨床應用價值。NT值增厚對于早期評估染色體異常風險及指導預后有顯著意義。
[Abstract]:Objective to investigate the application value of standardized ultrasonography in early pregnancy in fetal malformation screening. Methods A total of 2670 pregnant women were selected for early pregnancy screening at 11136-week. The fetal whole anatomical structure was observed and the thickness of the transparent layer of the neck was measured according to the standardized sequential method. The positive cases were followed up to the postpartum period. The results of severe malformation were compared with the pathology after induced labor. The results showed that there were 17 cases of malformed fetus, including 27 cases of malformation, including 1 case of scoliosis, 2 cases of anencephaly, 1 case of deformity, 1 case of anencephaly, 1 case of anencephaly, 6 cases of cervical hydrocystoma, 1 case of cleft lip and palate, 9 cases of fetal edema. There were 2 cases of cardiac abnormality, 2 cases of omphalocele, 1 case of lower extremity dysplasia, 1 case of giant bladder, 32 cases of which were proved by induced labor to be 鈮，

本文編號：1796434