三维超声诊断胎儿脊柱及四肢发育异常的临床价值
摘要
目的分析三维超声诊断胎儿脊柱及四肢发育异常的临床价值。方法选取经超声诊断为脊柱四肢发育异常的胎儿52例。采用单纯二维和二维三维超声相结合的两种方式进行诊断,比较两种超声的检出结果。结果 52例中,肢体及脊柱发育异常59处,二维与三维超声联合扫查发现异常57处(96.6%),单纯二维超声扫查显示异常50处(84.7%),差异有统计学意义(P<0.05)。三维超声能够更好地显示脊柱裂的范围及部位,在实时动态三维超声下可动态观察手指缺如及六指畸形。结论在二维超声基础上结合三维超声检查可提高胎儿脊柱及四肢发育异常的检出率。
引文
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[4] 张玲,周琴,富利,等.三维超声诊断胎儿脊柱侧弯的临床价值研究[J].中国妇幼保健,2009,24(14):1984-1986.
[5] Benoit B. The value of three-dimensional ultrasonography in the screening of the fetal skeleton[J].Childs Nerv Syst,2003,19(7/8):403-409.
[6] Dikkeboom CM,Roelfsema NM,Van Adrichem LN,et al.The role of three-dimensional ultrasound in visualizing the fetal cranial sutures and fontanels during the second half of pregnancy[J].Ultrasound Obstet Gynecol,2004,24(4):412-416.
[7] Faro C, Benoit B, Wegrzyn P, et al. Three-dimensional sonographic description of the fetal frontal bones and metopic suture[J].Ultrasound Obstet Gynecol,2005,26(6):618-621.
[2] 夏春华.二维超声结合三维超声诊断胎儿脊柱及四肢发育异常的应用分析[J].医学影像学杂志,2012,22(9):1590-1591.
[3] 方芳.超声诊断18周胎儿开放性脊柱裂合并钩状手畸形合并特纳综合征1例[J].中国医学影像技术,2011,27(5):1069.
[4] 张玲,周琴,富利,等.三维超声诊断胎儿脊柱侧弯的临床价值研究[J].中国妇幼保健,2009,24(14):1984-1986.
[5] Benoit B. The value of three-dimensional ultrasonography in the screening of the fetal skeleton[J].Childs Nerv Syst,2003,19(7/8):403-409.
[6] Dikkeboom CM,Roelfsema NM,Van Adrichem LN,et al.The role of three-dimensional ultrasound in visualizing the fetal cranial sutures and fontanels during the second half of pregnancy[J].Ultrasound Obstet Gynecol,2004,24(4):412-416.
[7] Faro C, Benoit B, Wegrzyn P, et al. Three-dimensional sonographic description of the fetal frontal bones and metopic suture[J].Ultrasound Obstet Gynecol,2005,26(6):618-621.