三维超声对胎儿正常唇及唇裂的诊断研究

Research of the diagnostic value of three-dimensional ultrasonography for fetal normal lip and cleft palate

目的：对三维超声对胎儿正常唇及唇裂的诊断价值进行探讨。方法选取2011年1月～2013年12月来我院进行超声检查的580例孕周超过20周的孕妇，利用三维超声进行诊断。结果580例孕妇利用三维超声检查，12例存在唇裂情况，检出率为2.07%，均在孕妇引产后或是产后得到证实。其中4例胎儿存在侧脑室偏宽、脐膨出、心律不齐且左心室存在光点、先天性室间隔缺损等症状。540例孕妇获取满意的胎儿面部、唇部影像图像，40例孕妇受到胎儿枕前位，面部紧贴胎盘或是宫壁，胎儿胎头固定以俯屈姿势入盆、面部四周没有羊水等多种因素的影响，胎儿的面部与唇部无法获取清晰的图像资料。结论三维超声在胎儿唇裂诊断中的应用，具有很高的诊断价值。

Objective To explore the diagnostic value of three-dimensional ultrasonography for fetal normal lip and cleft palate. Methods 580 cases of gestational age over 20 weeks pregnant women performed ultrasound test during January 2011 to December 2013 in our hospital were selected and diagnosed by three-dimensional ultrasonography. Results 12 of 580 pregnant women diagnosed by three-dimensional ultrasonography with cleft lip,which was confirmed after induced labor and parturition, the detection rate of 2.07%.4 of the 12 fetus were with symptoms of partial lateral ventricle width,acromphalus,arrhythmia,left ventricular spot and congenital ventricular septal defect.540 cases of pregnant women obtained satisfactory images of the fetal face and lips.And 40 cases of pregnant women didn’t obtain clear images affected the by the cause of OA,face close to the placenta or palace wall,fetal head fixed by prone flexion position into the basin,the face without amniotic fluid. Conclusion Three-dimensional ultrasound in the diagnosis of fetal cleft lip is with a high diagnostic value.