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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2012年11月至2014年3月5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。
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.
《中国产前诊断杂志(电子版)》编辑部 版权所有
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