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目的探讨超声检查应用于胎儿四肢关节挛缩畸形的产前诊断价值。方法对超声科自2005年1月-2012年1月期间行超声检查的25例四肢关节挛缩畸形胎儿的临床资料进行回顾性分析,并与胎儿引产后或生产后结果相比较,观察产前超声诊断价值。结果 25例四肢关节挛缩畸形胎儿中,5例为软骨发育不全,6例为成骨发育不全,8例为手畸形,6例为足畸形,其中22例与引产后或生产后结果相符,产前超声诊断结果与引产后或生产后结果差异无统计学意义。结论产前超声诊断仍然是胎儿四肢关节挛缩畸形的重要检查手段,由于各种因素的影响易出现一定的误诊或漏诊,临床超声医师应提高检查胎儿肢体的意识,按照顺序对胎儿肢体进行检查,以提高检出准确率。
Objective To investigate the value of ultrasound in prenatal diagnosis of fetal contracture deformities in limbs. Methods The clinical data of 25 fetuses with limb contracture deformity were analyzed retrospectively from January 2005 to January 2012 in ultrasound department and compared with that after fetus induction of labor or postpartum. The results of prenatal ultrasound Diagnostic value. Results Among 25 cases of limb contracture deformity fetuses, 5 cases were achondroplasia, 6 cases were osteogenic aplasia, 8 cases were hand deformities and 6 cases were foot deformities. Twenty-two of them were consistent with or after birth There was no significant difference in the results of ultrasound diagnosis before and after or after induction of labor. Conclusion Prenatal ultrasound diagnosis is still an important means of examination for fetal contracture deformities in fetal limbs. Because of various factors, misdiagnosis or misdiagnosis is easy to occur. Clinical ultrasound physicians should raise the consciousness of examining fetal limbs, check fetus limbs in sequence, To improve the detection accuracy.