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目的探讨产前超声在胎儿前腹壁缺陷中的诊断价值。方法应用二维彩色超声对胎儿进行系统检查,二维超声检查发现胎儿腹壁有异常或羊膜腔内有肿物与腹壁关系密切时应用三维超声获取胎儿前腹壁的三维图像。结果经正常产后或引产后证实的胎儿前腹壁缺陷15例,其中,脐膨出11例,腹裂4例。产前超声检出12例,漏诊3例脐膨出,产前超声准确率80%。结论二维超声联合三维超声诊断胎儿前腹壁缺陷具有重要的价值,能为临床提供可靠的诊断依据。
Objective To investigate the value of prenatal ultrasound in the diagnosis of fetal anterior abdominal wall defects. Methods Two-dimensional color ultrasound was used to systematically check the fetus. Two-dimensional ultrasonography showed that there was an abnormality in the abdominal wall or a tumor in the amniotic cavity was closely related to the abdominal wall. Three-dimensional ultrasound was used to obtain the three-dimensional image of the anterior abdominal wall. Results 15 cases of fetal anterior abdominal wall defects confirmed by normal postpartum or postnatal birth were found, of which 11 cases had umbilical swelling and 4 cases had abdominal disruption. Prenatal ultrasound detected in 12 cases, 3 cases missed umbilical swelling, prenatal ultrasound accuracy of 80%. Conclusion Two-dimensional ultrasound combined with three-dimensional ultrasound in the diagnosis of fetal anterior abdominal wall defects has an important value, which can provide a reliable basis for clinical diagnosis.