胎儿唇腭裂的影像学特征分析

    Imaging characteristics analysis of fetal cleft lip and palate

    • 摘要:
      目的总结二维超声的三平面正交法及三维超声在胎儿唇腭裂检查中的影像学特征,提高唇腭裂的产前诊断率。
      方法应用颜面部三平面正交法(横切、冠状切及矢状切三平面相互垂直)及三维超声对12 522例胎儿面部进行扫查,三个面上影像学特征比较分析,并追踪随访与产后结果对照、分析。
      结果68例唇腭裂,产前超声诊断67例,诊断率98.5%,横切面显示63例(92.6%),鼻唇冠状切面显示64例(94.1%),矢状切/旁矢状切面显示44例(64.7%),三维成像显示56例(82.3%)。
      结论二维三平面正交法及三维超声在诊断胎儿唇腭裂中有独特的影像学特征,能提高诊断的准确性,值得广泛应用。

       

      Abstract:
      ObjectiveTo summarize the imaging characteristics of three-dimensional ultrasonography and three-plane orthogonal method for two-dimensional ultrasonography in the examination of fetal cleft lip and palate, and improve the prenatal diagnosis rate of cleft lip and palate.
      MethodsA total of 12 522 fetal faces were scanned using three-plane orthogonal method(cross-section, coronal incision and sagittal incision) and three-dimensional ultrasonography.The imaging characteristics among the three planes were compared and analyzed, and the results of postpartum and following-up were analyzed.
      ResultsAmong 68 cases with cleft lip and palate, the prenatal ultrasound diagnosis in 67 cases was identified, and the diagnosis rate of which was 98.5%.Sixty-three(92.6%), 64(94.1%), 44(64.7%) and 56(82.3%) cases with cleft lip and palate were showed in the cross section, coronal section of nasolabial, sagittal section/parasagittal section and three-dimensional imaging, respectively.
      ConclusionsThe imaging characteristics of fetal cleft lip and palate using three-plane orthogonal method and three-dimensional ultrasonography are special, which can improve the accuracy of diagnosis, and is worthy of wide application.

       

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