产前超声对单脐动脉合并胎儿先天性结构畸形的诊断价值

The value of prenatal sonographic in the diagnosis of single umbilical artery combined fetal congenital malformations

目的探究产前超声检查对单脐动脉合并胎儿先天性结构畸形的诊断价值。方法对大理州人民医院2008年7月至2012年7月产前筛查出的60胎单脐动脉合并先天性结构畸形胎儿的超声特点进行回顾性分析,然后分析其羊水染色体检查结果,并和产后新生儿特殊检查或引产后尸体解剖及病理检查结果进行比较分析。结果 200例单脐动脉胎儿中,单脐动脉合并胎儿先天性结构畸形共60胎,发生率为30%,其中居前3位的分别是心血管系统、泌尿系统、中枢神经系统畸形。单脐动脉合并胎儿先天性结构畸形极为常见,其染色体异常的发生率与其种类呈正相关关系。结论产前超声检查可以较准确地诊断单脐动脉合并胎儿先天性结构畸形。

Objective To explore the diagnostic value of prenatal sonographic in the diagnosis of single umbili-cal artery combined fetal congenital malformations .Methods Sixty cases of single umbilical artery combined fetal congenital malformations fetus screened from July 2008 to July 2012 were analyzed retrospectively ,and then the datas that the amniotic fluid chromosome examination results ,the postpartum neonatal special check or after autopsy in-duction of labor and pathological examination results were analyzed .Results 200 cases of single umbilical artery fetal included 60 cases combined fetal congenital malformations ,the incidence rate was 30% ,the top three were the cardio-vascular system ,urinary system ,central nervous system malformations .Single umbilical artery combined fetal con-genital malformations was extremely common ,and the relationship between the incidence of chromosomal abnormali-ties and their species was positive correlation .Conclusion Prenatal ultrasound could accurately diagnose the single umbilical artery combined fetal congenital malformations .