胎儿脐膨出的产前超声诊断价值

Diagnostic Value of Ultrasound Screening in Diagnosis of Fetal Omphalocele

目的探讨产前胎儿超声检查对胎儿脐膨出的诊断价值.方法产前胎儿超声检查按照胎儿超声筛查规范分三阶段进行,早中孕11～14孕周彩超筛查、中孕期18～24孕周彩超筛查和晚孕期胎儿畸形补漏检查.结果超声筛查21 924例胎儿,共有11例脐膨出,超声检出5例,漏诊6例.结论产前胎儿超声检查在胎儿脐膨出的诊断与鉴别诊断中起着重要的作用;规范化超声筛查可以帮助检出大多数脐膨出.

Objective To evaluate the function ential diagnosis of fetal omphalocele. Methods of ultrasound screening in diagnosis and differ Fetal ultrasound screening was classified into three steps： 11～14 weeks pregnancy, 18～24 weeks pregnancy and more than 28 weeks pregnancy. Results During the period of January 2003 to March 2005, 21924 fetus were scanned and eleven fetus with omphalocele were diagnosed. Among the 11 cases, 5 were detected by ultrasound screening and 6 were miss-detected. Conclusion Ultrasound screening plays an important role in diagnosis and differential diagnosis of fetal omphaleocele and standard fetal ultrasound screening can help us to detect fetal omphaleocele as more as possible.