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产前超声检查对胎儿畸形诊断价值的研究(附21例先天性畸形分析)

Diagnostic Evalution of Ultrasound Scanning for Foetal Malformation During Pregnancy Analysis in 21 cases

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【作者】 孔秋英; 黄霓云; 余国静;

【Author】 Kong Quiying Huang Niyun(Department of Obsteries and Gynecology, The First Affiliated Hospital of Zhongshan Medical College)

【机构】 中山医科大学第一附属医院; 中山医科大学第一附属医院 进修医生; 指导者;

【摘要】 <正> B型超声诊断仪检查(下称B超)可以判断胎儿发育,早期诊断胎盘及羊水异常,胎儿畸形和死胎等。随着超声诊断仪分辨率的提高,对胎儿结构畸形的检出时间越来越早,探出的病种亦逐渐增多。不仅对胎儿外形而且对某些胎儿内脏的形态异常,占位性病变也可以作出判断。孕妇早期开始作系统的监护有助于加强孕妇和胎儿围产期保健,对优生优孕有较重要的实用意义。本文报道21例胎儿先天性畸形“B超”下的特点与追踪结果,供同道参考。

【Abstract】 The B type ultrasound scanning technic for foetal malformation is improving more and more. The technic will has be important role for periualal period health of mother and foetus and for eugenics and excellent pregnancy. This article report 21 cases of the ultrasound presentations associated with malformation and the results followed up.There were 21 cases of malformation in 804 pregnancies (2.6%). 15 of them had been diagnosed with accuracy by ultrasound including 8 foetal edema, 3 anencephalus, 2 hydrocephalus, 1 exomphalos and 1 genetic cardiopathy. 6 of them all were minor malformation sach as polyfinger, cleft palate or esophagastricture.The figures of ultrasound and experiences of diagnosis have been described and the auther emphasizes that significative foetal malformation is little misstated if the experimenter visit on rules of operation carefully or review following up: To detect mintor malformation, although, is usually difficult, if the amount of liquor-amnii is abnormal or increase rapidity the possibility should be considered in spite of absence of direct evidence.

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