二维超声诊断胎儿肢体畸形临床意义
乔继伟;李万荣
【期刊名称】《健康之路》
【年(卷),期】2014(000)001
【摘要】胎儿肢体畸形是复杂的畸形组合，又称体蒂异常，是由于前腹壁关闭失败所引起。该综合征可存在广泛前侧腹壁裂、明显的脊柱侧凸、肢体畸形、颜面颅脑畸形、脐带极短等多种畸形，这些畸形可单独存在或合并存在。典型的超声表现为胎儿腹部探及一个外形怪异、回声复杂的包块，有时包块可达胸前区，由于羊水过少，包块与子宫壁紧贴，腹壁皮肤回声显示不清；因此，胎儿形态结构改变越明显，超声检出率越高，确诊率也越高；所以，超声筛查应尽可能在孕20-24周之间进行，减少漏诊，及时准确地作出诊断，以便指导临床及时正确选择处理方案。%Is the deformation of complex combination,also cal ed body-stalk anomaly,is caused by closed abdominal wal before failure.The syndrome can be wideG spread tibialis anterior abdominal wal crack and obvious scoliosis,limb deformities,brain malformation of the face,umbilical cord very short,such as multiple malformaG tions,these deformities can exist alone or in combination.The typical sonographic findings of fetal abdomen,and a strange shape,the echo complex bag piece,bag piece can reach the chest area,sometimes with oligohydramnios,bag piece and close to the wal of the uterus,abdominal wal skin echo display is not clear;Fetal morphological strucG ture change,the more