47例早孕期胎儿异常超声诊断分析

Analysis of 47 Cases of Fetal Anomalies in Early Pregnancy Ultrasound Diagnosis

目的通过早孕期11~13＋6周超声筛查胎儿异常,探究早孕期超声筛查胎儿畸形的临床诊断意义。方法回顾性分析我院2012-02~2014-02间47例早孕期产前超声筛查出的胎儿异常的临床资料及超声表现。所有胎儿均经中孕期复查及引产后证实。结果 47例胎儿异常中,露脑畸形10例,无脑儿3例,全前脑1例,脊柱裂1例,联体双胎1例,颈部水囊瘤12例,NT增厚11例,脐膨出3例,双侧唇腭裂1例,左足内翻1例,右上肢缺如1例,左侧桡骨缺如1例,右房增大1例。结论尽早对胎儿异常进行诊断,可减轻孕妇身体损害,但在临床上仅可以对较为严重、早发的胎儿异常情况进行诊断,所以不能替代中晚期产前超声筛查。

Objective Through the first trimester of pregnancy 11 ~ 13 ＋ 6 weeks of gestation ultrasound screening for fetal abnormalities,to study the clinical diagnostic significance of screening fetal malformation during the first trimester ultrasound. Methods Retrospective analyzing the clinical data and the ultrasonographic findings of in the hospital from February,2012 to February,2014 in early prenatal ultrasound screening for fetal abnormalities in 47 cases. All fetuses were confirmed by review and induction of labor after confirmed in pregnancy. Results Among 47 cases with fetal abnormalities,10 cases were brain malformations,3 cases were anencephaly,1 case was holoprosencephaly,1 case was spina bifida,1 case was conjoined twins,12 cases were cervical cystic hygroma,11 cases were NT thickening,3 cases were omphalocele,1 case was bilateral cleft lip and palate,1 case was left foot,1 case was right upper limb absent,1 case was left absent radius,and 1 case was right atrial enlargement. Conclusion Early diagnosis for abnormal fetus should be done,pregnant women can reduce physical damage,but in clinics,only more serious and early fetal abnormality diagnosis is done so it can not replace late prenatal ultrasound screening.