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目的探讨超声诊断胎儿单脐动脉的临床价值。方法回顾分析我院近6年来111例胎儿单脐动脉及合并其它畸形的声像特征,并与产后及尸检、病理解剖进行对照比较。结果超声诊断111例胎儿单脐动脉,其中20例伴发胎儿先天畸形,分别为单心腔11例,后颅窝积液1例,三尖瓣下移1例,膈疝伴法洛氏四联症1例,唇裂3例,其它多发畸形3例。结论超声能够准确诊断胎儿单脐动脉,并引起足够重视,进一步仔细检查排除其它合并畸形,特别是心脏畸形,为临床及孕妇妊娠与否提供确切依据,有利于优生优育。
Objective To investigate the clinical value of ultrasound in the diagnosis of single umbilical artery in fetus. Methods A retrospective analysis of our hospital in the past 6 years, 111 cases of unilateral umbilical artery and other malformations with audio and video features, and compared with postpartum and autopsy, pathological anatomy. Results Ultrasound diagnosis of 111 cases of single umbilical artery of the fetus, of which 20 cases associated with fetal congenital malformations were 11 cases of single cardiac cavity, posterior fossa effusion in 1 case, tricuspid valve down in 1 case, diaphragmatic hernia with tetralone 1 case of disease, 3 cases of cleft lip, 3 cases of other multiple deformities. Conclusion Ultrasound can accurately diagnose the fetus single umbilical artery, and pay enough attention to further careful examination to rule out other combined deformities, especially cardiac malformations for clinical and pregnant women provide accurate evidence of pregnancy or not, is conducive to prenatal and postnatal care.