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孕妇,24岁,孕2产0,停经20周,来院常规检查。B超所见:胎头居右中上腹,双顶径约5.4cm,颅骨光环显示不完整,在其后右下方见10×9.1×6.5cm一个囊性网状回声飘浮于羊水中,颅内结构不清晰,脊柱颈、胸段连续性好;腰骶段显示不清。胎儿心跳节律规则。胎儿腹膨隆,腹径8.2cm,腹腔内见液性暗区直径约2.2cm,下肢粗大,皮下低回声约2.0cm,下肢骨回声显示不清。胎盘前壁O级,羊水量中等约4.2cm。超声诊断:1.子宫内孕单活胎;2.胎儿多发性畸形(A:脑脊膜膨出;B:胎儿腹水;C:胎儿四肢水肿)。 引产术后证实:胎儿后颈部见一巨大囊状物约10.5×
Pregnant women, 24 years old, 2 pregnant 0, menopause 20 weeks, to the hospital for routine examination. B seen: fetal head in the right middle and upper abdomen, biparietal diameter of about 5.4cm, the skull aura shows incomplete, then see the bottom right 10 × 9.1 × 6.5cm a cystic mesh echo floating in the amniotic fluid, the skull Internal structure is not clear, cervical spine, thoracic continuity is good; lumbosacral segment is not clear. Fetal heart rhythm rules. Abdominal bulging fetus, abdominal diameter 8.2cm, intraperitoneal see liquid dark area diameter of about 2.2cm, lower extremity thick, subcutaneous hypoechoic about 2.0cm, lower extremity bones echoes showed unclear. O-placenta anterior wall, moderate amniotic fluid about 4.2cm. Ultrasound diagnosis: 1. Intrauterine pregnancy single live fetus; 2. Fetal multiple deformities (A: meningocele; B: fetal ascites; C: fetal limb edema). Post-abortion confirmed: a large bladder around the fetal neck about 10.5 ×