天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (9): 1054-1055.doi: 10.11958/j.issn.0253-9896.2015.09.027

• 应用研究 • 上一篇    下一篇

产前超声诊断胎儿消化道畸形29例临床分析

卓娜， 段清， 张晖， 田晶， 孙彤   

  1. 天津医科大学第二医院超声科 （邮编300211）
  • 收稿日期:2015-07-07 修回日期:2015-08-19 出版日期:2015-09-15 发布日期:2015-09-15
  • 通讯作者: 张晖 E-mail:zhanghui8556@sina.com
  • 作者简介:卓娜 （1983）， 女， 医师， 主要从事临床超声诊断方面研究

Clinical analysis of 29 cases of fetal digestive tract malformation diagnosed prenatally by ultrasound

ZHUO Na, DUAN Qing, ZHANG Hui， TIAN Jing，SUN Tong   

  1. Department of Ultrasonography, Second Affiliated Hospital of Tianjin Medical University, Tianjin 300211, China
  • Received:2015-07-07 Revised:2015-08-19 Published:2015-09-15 Online:2015-09-15

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摘要：  目的 探讨产前超声检查诊断胎儿消化道发育畸形的临床意义。方法 对孕期 30~32 周于本院检查出存在先天性消化道发育畸形的 29 例胎儿根据超声图像的不同特点进行分类分析， 探讨其不同超声表现。结果 29 例中无胃泡或小胃泡 11 例（37.93%）， 合并多发畸形 4 例， 合并羊水过多 9 例。管扩张、 肠管多囊泡有 7 例（24.14%）， 其中合并多发畸形 3 例， 羊水过多 3 例。双泡征有 8 例 （27.58%）， 其中合并多发畸形 1 例， 羊水过多 7 例。另 3 例无明显超声影像特征。结论 30～32 周胎儿进行产前超声检查对发现胎儿消化道发育畸形有很高的诊断价值， 值得在临床推广应用。

关键词: 超声检查,多普勒,彩色, 胎儿, 超声检查, 产前, 消化系统畸形, 诊断, 鉴别

Abstract: Abstract: Objective To investigate the clinical significance of prenatal ultrasound examination in the diagnosis of fe⁃ tal digestive tract development. Methods Twenty-nine cases of congenital digestive tract malformation were examined in according to the different characteristics of their different fetal ultrasound images. Results There were 11 cases with non- magenblase or less magenblase (37.93%), 4 cases with combination of multiple malformations, and 9 cases with combination of amniotic fluid in the 29 cases. There were 7 cases (24.14%) with dilatation of intestine and intestinal vesicles, in which 3 with multiple malformations and 3 with polyhydramnios. There were 8 cases (27.58%) with double bubbles, in which 1 case with multiple malformations and 7 cases with amniotic fluid. Conclusion The prenatal ultrasound examination in 30 to 32 weeks of pregnancy is very valuable in diagnosis of fetal digestive tract development, which is worthy of clinical application.

Key words: ultrasonography, doppler, color, fetus, ultrasonography, prenatal, digestive system abnormalities, diagnosis, differential