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目的探讨产前超声诊断胎儿腹壁缺损的临床价值。方法选择2005年1月-2010年12月在我院进行产前超声检查的孕妇123674例。结果发现胎儿腹壁缺损43例,其中脐膨出24例,腹裂19例。伴胎儿多发畸形18例,胎儿染色体检查发现异常2例,所有病例均经产后证实。结论超声诊断胎儿腹壁缺损简单、明了,结合三维超声更加直观、清晰、逼真,孕妇及家属一目了然,使得异常儿明确诊断,供临床及孕妇适时终止妊娠,以阻止异常儿的产生,提高优生优育。
Objective To investigate the clinical value of prenatal diagnosis of fetal abdominal wall defects. Methods A total of 123,674 pregnant women underwent prenatal ultrasound in our hospital from January 2005 to December 2010. The results showed that 43 cases of fetal abdominal wall defects, umbilical swelling in 24 cases, 19 cases of abdominal rupture. With multiple fetal malformations in 18 cases, fetal chromosomal abnormalities found in 2 cases, all cases confirmed by postpartum. Conclusion Ultrasound diagnosis of fetal abdominal wall defect is simple and clear, combined with three-dimensional ultrasound is more intuitive, clear and vivid, pregnant women and their families at a glance, making the diagnosis of abnormal children for the clinical and pregnant women timely termination of pregnancy to prevent abnormalities and improve prenatal and postnatal care.