目的：研究产前超声在诊断胎儿膈膨升方面的声像图表现及应用价值。方法：回顾性分析郑州大学第三附属医院2012年1月—2015年7月产前超声诊断膈膨升22例，通过引产后尸检及产后患儿手术记录，总结产前超声诊断膈膨升的特点。结果：22例产前超声诊断膈膨升病例，5例进行羊水穿刺，2例为染色体检查结果异常。引产17例，尸检证实8例为膈膨升，9例为膈疝。5例继续妊娠至生产，其中4例手术证实为膈膨升，1例为膈疝。膈膨升手术效果均满意。结论：膈膨升多有典型声像图特征，产前超声在诊断胎儿膈膨升方面有重要应用价值，可为产前咨询和临床处理提供重要依据。
Abstract
Objective: To investigate the prenatal ultrasound in the diagnosis of fetal diaphragmatic eventration. Methods: Twenty-two cases of fetal diaphragmatic eventration with prenatal ultrasound diagnosis, which were confirmed by biopsy and surgery, were analyzed retrospectively to evaluate the ultrasonic manifestation and clinical data. Results: In the 22 cases of diaphragmatic eventration diagnosed by prenatal ultrasound, of which 5 cases got amniocentesis, with chromosome examination abnormality in 2 cases． There were 8 cases confirmed by biopsy among 17 cases of abortions, 5 cases continued to term delivery and 4 cases got confirmed by surgery while surgical results were good. Conclusion: Most fetal diaphragmatic eventration has typical sonographic appearance． Prenatal ultrasound has important application value in the diagnosis of diaphragmatic eventration, which can provide important information for prenatal consultation and clinical treatment.
关键词
膈膨出 /
胎儿 /
超声检查 /
产前
Key words
Diaphragmatic eventration /
Fetus /
Ultrasonography, prenatal
中图分类号：
R655.6
R714.53
Ｒ445.1
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基金
2014年河南省教育厅科学技术研究重点项目（项目编号：14A320025）；
2014年郑州市科学技术局科技发展计划（项目编号：20140909）。
