分类号：R714.56
出版年·卷·期（页码）：2012·4·第2期（4-7）
DOI:
20120202
-----摘要：-------------------------------------------------------------------------------------------
目的 探讨产前超声对胎儿脐膨出和腹裂的诊断与鉴别诊断价值及分析比较胎儿结局。方法 对超声诊断为胎儿脐膨出和腹裂的34例孕妇的临床资料和超声图像进行回顾性分析。结果 34例脐膨出和腹裂畸形胎儿的声像图表现各具特征，结局也不尽相同。①脐膨出15例，腹裂19例，孕有脐膨出胎儿的孕妇中位年龄28.64岁、中位孕次1.8次；孕有腹裂的胎儿的孕妇中位年龄23.06岁、中位孕次2.2次；胎儿脐膨出发生率为2.97/万(15 /50551),腹裂的发生率为3.76/万( 19/50551)；②10例脐膨出伴发其它结构异常（66.7%，10/15），2例脐膨出胎儿染色体检查异常（13.3%，2/15 ）。腹裂胎儿无其它结构异常及染色体检查异常；③脐膨出首次发现最小孕周为13周，腹裂首次发现最小孕周为18周。1例诊断胎儿脐膨出为围产儿死亡( 6.7%，1/15 )。结论 脐膨出常伴有其他结构异常及染色体异常，围产儿死亡率高；腹裂胎儿无其它结构异常及染色体异常，近年来发生率增高且预后较好。产前超声在二者诊断和鉴别诊断中具有重要价值。
-----英文摘要：---------------------------------------------------------------------------------------
Objective To study the different diagnosis andcomparison of outcome between fetus omphalocele and fetus gastroschisis by ultrasonograghy．Method Retrospective analyse the clinical data of thirty-four pregnant woman cases of fetus omphalocele and fetus gastroschisis which were diagnosed from January，2009 to July，2011 in Harbin Red Cross Center Hospital．Results The thirty-four fetus diagnosed omphalocele and gastroschisis showed different ultrasonic characteristics and outcomes．①There are fifteen cases of omphalocele and nineteen cases of gastroschisis．Average ages of pregnant women diagnosed omphalocele and gastroschisis are respectively 28.64 and 23.06 years old，and their average gravidity times are 1.8 and 2.2．Incidences of omphalocele and gastroschisis are respectively 0.0297% and 0.0376%．② Multiple malformations are respectively ten cases ( 66.7%，10/15 ) and two cases chromosome of fetus omphalocele is abnormal( 13.3%，2/15 ) in fetus omphalocele．Different from omphalocele，there are nomultiple malformation and chromosome abnormality in cases of gastroschisis．③The initial diagnosis for omphalocele and gastroschisis are respectively in thirteenth and eighteenth week gestation．Conclusions The incidence of fetus gastroschisis has been increasing in the recent years．It is important to distinguish the fetus omphalocele and the fetus gastroschisis by ultrasound screening because the prognosis of the latter is much better than the former．
-----参考文献：---------------------------------------------------------------------------------------
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陈明,杨志荣,赵欣,魏晓冬.产期超声对胎儿脐膨出和腹裂的鉴别诊断及胎儿结局的比较.中国产前诊断杂志,2012,4(2):4-7.
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