1000例胎儿超声体检结果简析

Analysis of 1000 cases of fetus health examination with ultrasound.

目的探讨中晚孕期胎儿超声体检的必要性。方法回顾分析近两年内应用彩色超声诊断仪对1000例中晚孕期胎儿行系统全面体检结果。检查内容:1.胎儿软标志:颈背部皱褶厚度、脑室轻度扩张、脉络膜囊肿、肠回声增强、m agna囊扩大、肾盂扩张、心内强回声灶;2.系统胎儿超声检查内容:双顶径、小脑宽径、延髓池宽、股骨长、肱骨长、胎心率、胎盘成熟度、羊水最大深度、羊水指数、脐动脉血流参数、面部五官、脊柱、四肢、胎儿四腔心、胎儿内脏。结果1000例中仅1例股骨肱骨小于正常范围,其余各生长参数均在正常范围内;胎儿明确异常27例(2.7%),与分娩结果符合;软标志异常15例(1.5%),其中2例至中晚孕期死亡。结论胎儿超声体检可发现更多的胎儿异常,提出孕期做一次全面细致的胎儿超声体检,是杜绝畸形儿出生的重要途径。

Objective ： To study the necessity of health examination in fetus at cecond - trithmer gestational ages with ulreasound. Methods： Reviewing analysis outcomes of 1000 cases of fetus at cecond -trithmer gestational ages were examinated with color ultrasound, examination content： 1. Fetal soft markers ： thickned nuchal fold, echogenic bowel, mild ventriculomegaly, echogenic focus in the heart, and choroid plexus cyst, single umbilical artery, enlarged cisterna Magna, and pyelectasis; 2. Systemic fetus uhrasound examination content ： Biaparietal diameter, cerebellum, medulla oblongata, Femur length, humerus length, spinal column, internal organs, fetus heart four-chamber view, amniotic fluid index, placenta . Results ： Only one of 1000 cases fetal＇s femur and humerus is shorter then normal, the others every cases grow parameter is part of the regular limits ; Fetus with clear - cut malformation is 27 cases （2. 7% ）, and accord with parturition; Fetal soft markers abnormal is 15 cases （1.5%）, among 2 cases is death at cecond - trithmer. Conclusion ： More fetu malformation be discoverded when health examination with ultrasound, put forward fetus all - round health examination be down with ultrasound at genetic, which is important way for the stop birth defects be born.