【摘要】 目的探讨彩超及染色体分析在胎儿淋巴囊肿诊断中的应用价值。方法选择2010年1月~2015年2月于我院经彩色多普勒超声诊断为胎儿淋巴囊肿的34例孕妇(孕13~29周),均对其进行羊水培养,分析胎儿的染色体。结果 27例胎儿囊肿位于颈部,6例位于四肢,1例位于颈部及肢体。其中有11例胎儿满身皮肤囊性水肿,7例胸腔积液,3例腹腔积液,2例心包积液。34例经彩色多普勒超声诊断为淋巴囊肿的胎儿中,26例存在染色体异常。结论彩色多普勒超声是一种非侵入性无创无痛性影像学检查手段,尤其对胎儿淋巴囊肿的产前诊断较好,约75%的患者与染色体异常有一定的关系。结合超声的特征性表现及羊水培养的染色体分析对其确诊及临床指导有着重要的意义。更多还原

【Abstract】 Objective To investigate the application value of color Doppler ultrasound and chromosomal analysis in the diagnosis of fetal lymphatic cysts. Methods 34 pregnant women(13~29 weeks) were selected, who were diagnosed with fetal lymphatic cysts by color Doppler ultrasound in our hospital from January 2010 to February 2015. The amniotic fluid culture was collected in the 34 patients for fetal chromosome analysis. Results 27 cases showed cysts on the neck, 6 cases showed cysts on the limbs, 1 case showed cysts on the neck and limbs. 11 cases showed cystic edema on fetus skin, 7 cases showed pleural effusion, 3 cases had signs of fluid accumulation in the abdominal cavities, 2 cases had signs of pericardial effusion. Among 34 fetuses that were diagnosed with fetal lymphatic cysts by color Doppler ultrasound, 26 cases showed fetal chromosomal abnormalities. Conclusion Color Doppler ultrasound is a noninvasive and painless imaging method that is especially useful in the diagnosis of fetal lymphatic cysts in prenatal care. About 75% of the fetal lymphatic cysts is related to chromosomal abnormalities. The combination of typical characteristic display via ultrasonic imaging and the chromosomal analysis of amniotic is of great significance in the diagnosis of fetal lymphatic cysts and provides clinical guidance to patient care.更多还原