中孕期胎儿系统超声检查切面及临床意义

366()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3,20007200979,,,,,3239,,3239,,,;;;;Fetalanatomicultrasoundsectionsandtheirvaluesinthesecond2trimesterofpregnancyLISheng2li,WENHua2xuan.DepartmentofUltrasound,ShenzhenMater2nity&ChildhealthcareHospitalAffiliatedtoSouthernMedicalUniversity,Shenzhen518028,ChinaAbstractObjectiveThevariousanotomicultrasoundsectionsofthefetusinthesecond2trimesterofpregnancywerestudiedtodeterminetheclinicalapplicationandsignificanceofthesesections.MethodsBasedonourexperienceofanotomicultrasoundexaminationofthefetusesinthepastnineyears,theforeignstandardsandexperienceofprenatalultrasonopraghicexaminationinobstetricswereanalyzedandcompared.Thesonographicfeaturesindifferentsectionsofvariousfetalmalformationswerestudiedandthenecessaryultrasoundsectionsofeachfetusintheprenatalultra2soundexaminationwereanalysed.Thespecificationofthesesectionsinhealthyfetuswasprovidedtominimizethemisdiagnosis.ResultsThevariousultrasoundsectionsofthefetuswereanalysedand32to39specificultrasoundsectionsofthefetuswerenecessarilyobtainedinfetalanatomicsurvey.Mostofthefetalmalformationscanberecognizedanddiagnosedbyscanningthesesectionsandthedetectionrateoffetalabnormalitieswouldbeincreased.ConclusionByobtainingthespecific32239:(60671043);(2006BAI05A04):518028,()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3367ultrasoundsectionsofeachfetusareveryimportantinfetalanatomicultrasoundexami2nationinduringthesecond2trimesterofpregnancy.Standardizationofthesesectionsisbeneficialtoincreasethedetectionrateoffetalabnormalitiesandtostandardizetrain2ingprogrammeinprenataldiagnosisandqualitycontrol.KeywordsFetus;Second2trimesterofpregnancy;Prenataldiagnosis;Ultra2sonography;Sections,,,[124],,9[5],9,[6],,[7210],,4[124],,(,,,600,10)2000720097,63459,,2000,2003,[9,10],,[11213],,,(),,,,2,,4,4,,,,368()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3,,3239,:3351245121216111()(1,1)1()A;B1,,()()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.336911:,,21:,,31:(1):,,,(2025),;(2):,;(3):1/3,;(4):,;(5):,2mm,,:41:,,GALEN()(2)211:,,21:,,,,,,,31:370()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3,,,:,,,10mm,,,41:()(3)31.:,21:,,31:(1):,(2025);(2):,,,,,24,(mm)(20mm20),203812mm,380.7mm;(3):,;(4):1/3,,,,,,,,10mm;(5):,:()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.337141:,,,Dandy2WalkerArnold2Chiari()(4,2)42E;NB()372()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.311:,,21:,,,,(30)31:(1):,14,,90%30,,;(2):;;20(),;(3):,,,,41:,,,()(5,3)5()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.33733,()11:,,21:31:(1):,,;(2):,41:,,()(6,4)11:,,,21:,,,31:,,S,,374()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.364,,()41:,,,,()()()()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3375()(7,5)7A;B5,,()376()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.311:,,;,21:4,,,331:(1):,1/3,;(2):,(4520);(3)/,/,0.250.33;(4):,,,,,,,,,(moderatorband),1/3,,,,,,28,,,,,,,,,,41:,,,,(1):,,,,,,,,,,,,,,,,,,;(2):,,,,()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3377()(8)8A;B11:,,(),30,21:,,31:(,,)41:,,()(9)11:,,;,30,21:,,31:()378()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.39A;B41:,()(10,6)6,SVC;T;ARCH;MPA;DA()()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.33791011:,,21:,,,31:(1):;(2):;(3):3,,41:,SLL()(11)11:,,21:,,,V,31:(1):,,,,380()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.311;(2):;(3):3,,;(4):,,;(5):,,,,,,41:,:,,,,,,,,,,,,,,,()1.[J/CD].:,2005,2(1):529.2.[J/CD].:,2005,2(2):70273.3..:,2004.4..:,2008.5,,,..,2005,14(1):39241.6,,,..,2005,14(8):5942596.7,..,2005,21(4):627.8,,,.[J/CD].:,2009,6(4):6302()2010373ChinJMedUltrasound(ElectronicEdition),March2010,Vol7,No.3381637.9,,,.199922006993.,2008,30(1):69274.10,,,..,2009,3(25):3122315.11AmericanInstituteofUltrasoundinMedicine.AIUMPracticeGuidelinefortheperformanceofanantepartumobstetricultrasoundexamination.JUltrasoundMed,2003,22(10):111621125.12YagelS,CohenSM,AchironR.Examinationofthefetalheartbyfiveshortaxisviews:aproposedscreeningmethodforcompre2hensivecardiacevaluation.UltrasoundObstetGynecol,2001,17(5):3672369.13ViÌalsF,HerediaF,GiulianoA.Theroleofthethreevesselsandtracheaview(3VT)inthediagnosisofcongenitalheartdefects.UltrasoundObstetGynecol,2003,22(4):3582367.(:2009207207)(:),.[J/CD].:,2010,7(3):3662381.