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目的:探讨孕妇首次产前超声检查诊断胎儿肢体-体壁综合征的价值。方法:对本院产前超声诊断的17例胎儿肢体-体壁综合征声像图的特点进行回顾性分析比较。结果:17例胎儿二维超声表现为严重的腹壁缺损或胸腹壁联合缺损,多脏器游离于羊水中,游离的内脏表面可见片状羊膜覆盖,均有不同程度的脊柱畸形,包括脊柱侧凸、后凸甚至弯曲成角,5例合并颅脑异常,7例足或肢体异常,8例脐带极短,2例颈项皮肤层明显增厚,4例可见羊膜带贴附。结论:二维超声和彩色多普勒超声对胎儿肢体-体壁异常的早期诊断有不可替代的作用,是目前首选的无创性检查方法。
Objective: To investigate the value of the first prenatal ultrasound in pregnant women diagnosing fetal limb-wall syndrome. Methods: The characteristics of 17 cases of fetus limb-wall syndrome diagnosed by prenatal ultrasound in our hospital were retrospectively analyzed and compared. Results: Seventeen fetuses showed severe abdominal wall defects or combined thoracic and abdominal wall defects. Multiple organs were free from amniotic fluid. The free internal surface of the fetus was covered with amniotic membrane, with varying degrees of spinal deformity, including scoliosis , Kyphosis or even angulation, 5 cases with brain abnormalities, 7 cases of foot or limb abnormalities, 8 cases of umbilical cord very short, 2 cases of neck skin layer thickening, 4 cases of visible amniotic band attached. Conclusion: Two-dimensional ultrasonography and color Doppler ultrasound have an irreplaceable effect on the early diagnosis of fetal limb-body wall abnormalities. It is the first choice of noninvasive method.