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病历资料孕妇,25岁,孕22周,此次怀孕未接触任何有害因素,既往体健无遗传病史。产前常规超声检查:双顶径47mm,股骨长径34mm,胎心率149次/分,羊水49mm。脊柱、四肢及胸腹未见明显异常,超声孕周20w3d。胎儿颜面部扫查:胎儿上唇连续中断,可见两处回声缺失,宽度分别约0.5cm和0.4cm,中间可见中强回声团,牙槽骨可见连续中断,鼻翼塌陷。超声提示:①宫内中孕,单活胎;②胎儿唇裂合并腭裂不除外;③脐带绕颈一周。患者引产一死婴,胎儿上唇中部可见两处唇裂,延唇裂处向内上可见牙槽骨裂及上腭裂,鼻结构紊乱,鼻翼塌陷。
Medical records Pregnant women, 25 years old, 22 weeks pregnant, the pregnancy has not been exposed to any harmful factors, previous history of non-genetic health. Prenatal ultrasound: biparietal diameter 47mm, femur length 34mm, fetal heart rate 149 beats / min, amniotic fluid 49mm. Spine, limbs and chest and abdomen no obvious abnormalities, gestational weeks ultrasound 20w3d. Fetal facial scan: continuous fetal upper lip interruption, showing two missing echo, the width of about 0.5cm and 0.4cm, the middle of the strong echo group can be seen alveolar bone continuous disruption, nose collapse. Ultrasound tips: ① intrauterine pregnancy, single live fetus; ② cleft lip cleft palate with no exception; ③ umbilical cord around the neck a week. Patients induced induction of a dead baby, fetal upper lip visible in the middle of the two cleft lip, cleft lip cleft Department can be seen inward alveolar cleft and cleft palate, nasal structure disorders, nose collapse.