胎儿透明隔腔缺如产前超声诊断价值体会.docVIP

精品论文 参考文献 胎儿透明隔腔缺如产前超声诊断价值体会 DOI：10.7504/nk2016010203 中图分类号：R587.1 文献标识码：A 　　摘要：目的 分析研究胎儿透明膈腔缺如在产前超声诊断的应用效果。方法 选取2014年1月-2016年1月在我院进行产前超声筛查中被确诊为透明隔腔缺如的患者一共有80例，对其相关资料给予回顾性分析，同时与分娩后的病理结果进行对比。结果 在进行产前超声检查的33708例孕妇中，一共有80例患者筛选结果为胎儿透明隔腔缺如，占总体的0.24%，其中胼胝体发育不良共有34例，占总体的42.5%，前脑无裂畸形一共有28例，占总体的35%；孤立性透明隔腔消失一共18例，占总体的22.5%。4例透明隔腔缺如胎儿足月分娩，76例透明隔腔缺如胎儿引产后通过病理或标本影像学检查全部得到证实。结论 对胎儿透明膈腔缺如在产前进行超声检查，可以使临床诊断准确率明显提高，对制定临床治疗方案提供重要依据，具有临床推广价值。 　　关键词：胎儿；透明隔腔缺如；产前；超声；诊断价值 　　Experiment for the value of prenatal ultrasonic diagnosis for the absence of fetal cavum septum pellucidum 　　Gao Jiansong,Bao Lingyun,Huang Anqian,Xu Chenke,Zhu Luoxi,Zhu Qingqing, Xu Liang 　　【Abstract】Objective Analysis the application effect of the absence of clear meditational fetal prenatal ultrasound diagnosis. Methods A retrospective analysis were done to relative documents and recordings of 80patients who were diagnosed as absence of septum pellucidum cavity by ultrasound scanning examination and compared to their pathological results after birth, from January 2014 to January 2016. Results There are 80 cases was screened as fetal absence of septum pellucidum cavity in 33708 prenatal ultrasound which is 0.24% of the total amount, of which callosal agenesis 34, 42.5% of overall amount, holoprosencephaly 28, 35% of overall amount, Isolated transparent septum disappeared 18, 22.5% of overall amount. 4 fetuses with septum pellucidum cavity absence in term delivery, specimens of 76 fetuses with septum pellucidum cavity absence were confirmed with pathology and imaging examination after induced labor. Conclusion The ultrasound examination for septum pellucidum cavity absence before birth can effectively increase the accuracy of the diagnosis; provide important evident to the development of clinical treatment programs, it has great promotion clinic value. 　　【Key words】 fetal agenesis; pseudocele; ultrasound; diagnostic value; 　　孕16周以后，超声在胎儿颅脑扫查时可以显示透明隔腔。而CSP缺失与很多颅内疾病具有相关性，如脑室融合、前脑病理改变或脑中线结构异常[1]。另外，根据相关实践研