孕早期超声对胎儿前腹壁异常的应用价值

Application Value of Early Pregnancy Ultrasound on the Fetal Anterior Abdominal Wall Defects

目的探讨孕早期超声对胎儿前腹壁异常诊断价值。方法回顾性分析我院2012年1月1日至2013年12月31日在我院超声科行早期胎儿结构筛查的孕妇。按早孕超声筛查规范检查,明确有无胎儿及其附属物的结构异常。结果共检查孕11-13＋6周孕妇12120例,其中单胎妊娠11664例,双胎妊娠456例,共发现前腹壁异常44例,其中超声诊断腹裂12例,脐带膨出16例,可疑脐带膨出4例,可疑腹裂1例,体蒂异常1例,生理性中肠疝2例,漏诊1例。结论通过孕早期胎儿结构筛查,可以发现大部份腹壁异常者,为进一步产前诊断及产科处理提供依据。但因孕周较小及胎儿发育特殊性,也存在不确定性诊断,需针对性随访观察;可以肯定的是孕早期超声筛查已成为常规产前检查的重要环节。

Objective To study the early pregnancy ultrasound of the fetal anterior abdominal wall defects diagnosis. Methods Retrospective analysis of our hospital from January 1, 2012 to December 31,2013 year in our hospital department of ultrasound in early fetal screening of pregnant women. Check in early pregnancy ultrasound screening, clear structure and its appendages without fetal anomalies. Results 11-13＋6 gestational weeks were examined in 12120 cases, including 11664 cases of singleton pregnancy, 456 cases of twin pregnancy, were found in the anterior abdominal wall was abnormal in 44 cases, including 12 cases of ultrasound in the diagnosis of gastroschisis, 16 cases of umbilical cord prolapse, 4 cases suspected of umbilical cord prolapse, 1 cases of suspected gastroschisis, 1 cases of abnormal body stalk, 2 cases enterocele physiological, missed diagnosis in 1 cases. Conclusion The early pregnancy fetal screening, can be found abnormal in most abdominal wall, to provide the basis for further prenatal diagnosis and obstetrical treatment. But because the development particularity and fetal gestational weeks smaller, also the uncertainty of diagnosis, the need for follow-up observation; it is certain ultrasound screening for early pregnancy has become an important part of routine prenatal examination.