超声诊断胎儿轻度侧脑室增宽的临床意义

Clinical significance of ultrasound for diagnosis of fetus with mild lateral ventriculomegaly

目的分析超声诊断胎儿轻度侧脑室增宽的临床意义。方法选取在河南省直第三人民医院进行超声诊断侧脑室增宽的胎儿80例,依据超声检查结果进行分组,轻度增宽组胎儿40例,超声检查轻度侧脑室增宽;重度组增宽组胎儿40例,均诊断为侧脑室增宽;对两组胎儿复查结果和最终结果进行分析。结果重度增宽组胎儿1个月复查、2个月复查好转比例显著低于轻度增宽组胎儿。重度增宽组患儿伴有畸形的发生比例、引产后脑积水、脊柱裂、先天性心脏发育不全比例均显著高于轻度组胎儿,差异有统计学意义(P<0.05)。根据2个月后的复诊结果在患者和家属的同意下,采取针对性的处理措施。对2个月复查为侧脑室增宽的胎儿均行引产手术终止妊娠处理。结论在超声扫描下进行胎儿轻度侧脑室增宽的诊断具有较高的临床价值和临床意义,应给予重视。

Objective To analyze the clinical significance of ultrasound for diagnosis of fetus with mild lateral ventriculomeg-aly. Methods Eighty fetus with lateral ventriculomegaly in the third people’s hospital of Henan province were divided into two groups,according to the results of ultrasound. There were 40 cases in mild lateral ventriculomegaly group,and 40 cases in severe lateral ventriculomegaly group. The reexamination results and final results of two groups were analyzed. Results The proportions of patients with improvement in severe lateral ventriculomegaly group were obviously lower than those of the mild lateral ventricu-lomegaly group at 1 month and 2 months of reexamination. The proportions of malformation,hydrocephalus after induced labor, spina bifida,congenital heart fetal dysplasia in severe lateral ventriculomegaly group were significantly higher than those in the mild lateral ventriculomegaly group（ P﹤0. 05 ）. With the consent of the patients and their families,appropriate actions were taken based on the results of 2 months of reexamination. The fetus with lateral ventriculomegaly at 2 months of reexamination were given termination of pregnancy by induced labor. Conclusion Ultrasound in the diagnosis of fetus with mild lateral ventriculo-megaly has good clinical value and clinical significance,so it should be paid attention to.