实时三维超声检查在胎儿颜面部畸形的临床价值

Diagnostic classification of real-time three-dimensional ultrasound to diagnose fetus facial dysmorphism

目的探讨实时三维超声检查在中晚期妊娠诊断胎儿颜面畸形的临床价值。方法回顾性分析本院2006年1月至2008年12月35 237例中晚孕孕妇进行的实时三维超声检查。结果诊断胎儿颜面部畸形57例,漏诊2例,诊断畸形个数155个,漏诊畸形个数3个,实时三维超声检查诊断胎儿颜面部畸形具有较高阳性率。结论中、晚孕期尤其中孕期进行实时三维超声有利于早期发现胎儿颜面部畸形,从而对提高新生儿存活率及人口素质具有重要意义。

Objective To explore the clinical value of the real-time three-dimensional ultrasonograph to diagnose fetus facial deformities in medium-term and late pregnancy. Methods The results of real-time three dimensional ultrasonograph in 35,237 cases of medium term and late pregnancy in our department from January 2006 to December 2008 were retrospectively analyzed. Results Fifty seven cases of fetal facial deformity were diagnosed,2 cases had missed diagnosis, 155 cases were diagnosed malformations, 3 cases had missed diagnosis of malformations, so it had higher positive rate in diagnosis of fetal facial malformations by real time three-dimensional ultrasonograph. Conclusion Real-time three dimensional ultrasonograph is favorable to early discover fetus facial deformities in medium-term and late pregnancy, and has important meaning to elevate survival rate of newborn and population quailty.