孕期胎儿颅后窝超声检查对开放性脊柱裂筛查的临床价值

孕期胎儿颅后窝超声检查对开放性脊柱裂筛查的临床价值郑维君;余庆红;唐凤珍
【期刊名称】《陕西医学杂志》
【年(卷),期】2018(047)003
【摘要】Objective:Explore the clinical value of ultrasonography in the diagnosis of spina bifida in the pos-terior cranial fossa by exploring the ultrasonographic characteristics of the posterior cranial fossa.Methods:200 cases of normal fetus and open spina bifida fetus were selected as the research object,and the posterior fossa structure was used to screen the patients in 6 cases.Results:The normal fetus fetal head and arm length was significantly greater than that of open spina bifida fetus
group(P<0.05);transparent layer group was significantly lower than that of normal fetal nuchal open spina bifida fetus group(P<0.05);open spina bifida patients with ultrasound image was not clear,figure 8 the midbrain and thalamus had different degrees of distortion or deformation,aqueduct disap-peared.The cerebral peduncle and lateral border of the thalamus near parallel tangent.Conclusion:The ultrasonic examination of the posterior cranial fossa in pregnancy can effectively screen the open spina bifida,which has high clinical value.%目的:分析开发性脊柱裂及正常胎儿的颅后窝超声检查特征,探讨孕期胎儿颅后窝超声检查对开放性脊柱裂筛查的临床价值.方法:选取行超声检查的胎儿作为研究对象,正常胎儿200例,开放性脊柱裂胎儿6例,采用颅后窝结构显示方法对患者进行筛查.结果:正常胎儿组胎儿头臂长显著大于开
放性脊柱裂胎儿组(P<0.05);正常胎儿组胎儿颈项透明层显著低于开放性脊柱裂胎儿组(P<0.05);开放性脊柱裂患者超声图像不清晰,8字形中脑和丘脑有不同程度扭曲或形变,中脑导水管消失,大脑脚外侧缘和丘脑切线接近平行.结论:孕期胎儿颅后窝超声检查可有效筛查开放性脊柱裂,具有较高的临床应用价值.
【总页数】3页(P329-331)
【作者】郑维君;余庆红;唐凤珍
【作者单位】陕西省汉中市3201医院功能科,汉中723000;陕西省汉中市3201医院功能科,汉中723000;陕西省汉中市3201医院功能科,汉中723000
【正文语种】中文
【中图分类】R445.1
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