胎儿胆道系统异常产前超声检查诊断分析.docVIP

精品论文 参考文献 胎儿胆道系统异常产前超声检查诊断分析 四川省自贡市妇幼保健院,四川 自贡 643000 【摘要】目的：分析胎儿胆道系统异常产前超声检查诊断情况。方法：对7500例中晚期孕妇胎儿胆道异常者行3D超声重建诊断，分析胆道系统异常产前超声检查诊断情况。结果：（1）检出25例胆道异常胎儿，包括胆囊内强回声23例，胆总管囊肿2例；23例强回声的声像图表现：孤立性强回声团4例，多发颗粒状强回声18例，胆囊内沉积性回声1例。结论：产前超声检查诊断能较好地显示胎儿胆道系统异常情况，动态监测其转归情况，是临床诊断胎儿胆道系统异常情况的首选方式。 【关键词】胆道系统异常；产前超声检查；声像图表现 Diagnosis and analysis of abnormal prenatal ultrasound examination of fetal biliary system Wan Xiaomei Maternal and Child Health-Care Hospital of Zigong city,Zigong 643000 Sichuan [Abstract]Objective: to analyze the diagnosis of abnormal prenatal ultrasound examination of fetal biliary system. Methods: September 2009 to December 2014 admitted in our hospital and 7500 patients to our hospital for antenatal examination in late pregnant women with fetal biliary abnormalities in patients with 3D ultrasound reconstruction in the diagnosis of biliary system abnormal prenatal ultrasound diagnosis analysis. Results: (1) the 75 cases of pregnant women, the detection of 25 cases of bile duct abnormalities, fetal, detection rate of 0.33% (25/7500) including gallbladder echogenic foci in 23 cases, 2 cases of choledochal cyst; 23 cases of fetal gallbladder echogenic foci in the sonographic findings include three types: solitary echogenic mass in 4 cases (accounted for 17.39%), 18 cases of multiple granular strong echo (accounting for 78.26%), gallbladder deposition echo 1 case (4.35%). Conclusion: prenatal ultrasound diagnosis can better display the abnormal situation of the fetal biliary system, and the prognosis of the patients is the first choice for clinical diagnosis of fetal biliary system abnormalities. [Key words] biliary system abnormalities; prenatal ultrasonography; sonographic appearance 胎儿胆道系统异常症状比较少见，关于产前超声诊断检查的相关研究报道则更少。本研究采用3D超声重建诊断手段对胎儿胆道系统异常进行检查诊断，现报告如下。 1 资料及方法 1.1 一般资料 入组对象为2009年9月-2014年12月入住我院的7500例来我院进行产前检查的中晚期孕妇，年龄21~38岁，平均（30.19plusmn;3.22）岁；初产妇3420例，经产妇3580例；孕周为29~42周，平均（36.59plusmn;2.11）周；胎儿分娩时体重2.5－4.5kg，平均（3.42plusmn;0.46）kg。所有孕妇均为单胎妊娠