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5例胎儿尿道下裂的产前超声诊断 [中文引用][英文引用]

作者:李睿 范丽梅 杨瑞琦  
作者(英文): 
单位(英文): 
关键词:三维超声 胎儿 尿道下裂 
关键词(英文): 
分类号:R714.53
出版年·卷·期(页码):2015·7·第2期(40-42)
DOI: 10.13470/j.cnki.cjpd.2015.02.013
-----摘要:-------------------------------------------------------------------------------------------

目的 结合胎儿尿道下裂二维和三维超声声像图表现,探讨超声检查在产前诊断胎儿尿道下裂的价值。方法 回顾性分析201211201435例于本院超声诊断为胎儿尿道下裂的超声声像图特征,并和产后观察结果进行对照分析。结果 4例见阴茎短小和阴囊分离所致郁金香征1例表现为阴茎短小,产后观察3例为阴囊型尿道下裂,1例为阴茎型尿道下裂,1例为阴囊阴茎型尿道下裂。其中1例胎儿合并单脐动脉,1例胎儿合并室间隔缺损,1例胎儿合并持续性右脐静脉,2例胎儿合并羊水过多。结论 产前超声检查是发现和诊断胎儿尿道下裂的首选方法,三维超声检查在胎儿尿道下裂的诊断中能够起到更直观的效果。

-----英文摘要:---------------------------------------------------------------------------------------

Objective  Combined with 2D and 3D sonographic appearance of fetal hypospadias, to investigate the application of ultrasonograph in prenatal diagnosis of fetal hypospadias. Methods Retrospective analyzing sonogram characteristic of 5 cases who were diagnosed in our hospital as fetal hypospadias from November 2012 to March 2014, and analyzed the database with the follow-up results. Results 4 fetuses showed "tulip flower syndrome" which was induced by small penis and separated scrotum, 1 fetus showed small penis. There are 3 cases of scrotal type of hypospadias, 1 case of penile type of hypospadias, 1 case of scrotal- penile type of hypospadias in postpartum follow-up. One fetus with single umbilical artery and fetal ventricular septal defect, one fetus with persistent right umbilical vein, two fetuses were not detected obvious fetal organ abnormity, a pregnant woman with pregnancy induced hypertension. Conclusions  prenatal ultrasound is the preferred method for detection and diagnosis of fetal hypospadias, three-dimensional ultrasonography can play a more direct effect in the diagnosis of fetal hypospadias.

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