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1、34·2012年7月第9卷第7期ChinJMedUltrasound(ElectronicEdition),July0J!.!.?huà)D產(chǎn)科超聲影像學(xué).13.三體綜合征胎兒產(chǎn)前超聲表現(xiàn)分析姜緯鄧學(xué)東王挺梁青梁泓周景玲陸冰王珍琦【摘要】目的探討l3一三體綜合征胎兒產(chǎn)前超聲表現(xiàn)特征及其臨床意義。方法對(duì)2008年至2011年產(chǎn)前在我院經(jīng)染色體檢查診斷為13一三體綜合征的12例胎兒的超聲聲像圖特征進(jìn)行總結(jié)分析。結(jié)果12例13一三體綜合征胎兒中1例孕65d時(shí)超聲檢查無(wú)胎心搏動(dòng),其余l(xiāng)1例產(chǎn)前超聲檢查時(shí)發(fā)現(xiàn)均有1種以上結(jié)構(gòu)畸形,其中心臟結(jié)構(gòu)異常6例,顏面部畸形6
2、例,前腦無(wú)裂畸形4例,單臍動(dòng)脈2例,Dandy—Walker畸形、臍膨出、臍帶囊腫、雙腎積水、頸部淋巴水囊瘤、多指畸形、足內(nèi)翻、多囊性腎發(fā)育不良、胸腹腔積液、腸管回聲增強(qiáng)、側(cè)腦室增寬,頸項(xiàng)透明層增厚各1例;其中前腦無(wú)裂畸形和與之相關(guān)的顏面部畸形具有其特征性。結(jié)論胎兒13一三體綜合征有其特征性超聲表現(xiàn),產(chǎn)前超聲檢查是協(xié)助臨床早期發(fā)現(xiàn)胎兒13一三體綜合征的一種可靠、有效的方法,具有重要臨床意義?!娟P(guān)鍵詞】超聲檢查,產(chǎn)前;13一三體綜合征Prenatalultrasonographyoffetuseswithtrisomy13syndromeJIAN
3、G.DENGXue—dong.WANG,,LIANGQin,LIANGHong,ZHOUJing—ling,LUBing,WANGZhen—qi.CenterforMedicalUltrasound&CenterforReproductionandHereditary,NanilngMedicalUniversityAffiliatedSuzhouHospital,Suzhou215002,ChinaCorrespondingauthor:DENGXue—do,Email:xuedongdeng@163.com【Abstract】objecti
4、veToassessthecharacteristicsandthevalueofprenataluhrasonographyoffetusewithtrisomy13syndrome.MethodsTheultrasonicmanifestationsof12fetuseswithtrisomy13syndromefrom2008to2011wereretrospectivelyanalyzed.ResultsOfalleases.1casewasfoundwithoutpulsationwhen65一daygestation.Theothe
5、r11caseswereallfoundmorethanonestructuremalformationbyprenatalultrasoundexamination.Sixwerefoundwithheartabnormalities,6werefoundwitheraniofacialmalformations.Fourwithholoprosencephaly.TwowithSingleUmbilicalArtery.Dandy.Walkermalformation.omphalocele,umbilicalcordcyst,bilate
6、ralhydronephrosis,cystichygroma,polydactyly,strephenopodia,muhicysticdysplastickidney,pleura1effusionsandaseites,echogenicbowel,lateralvennculomegaly,thickenNTinonecaserespectively.Holoprosencephalyanditsrelatedmalformationsinfacialareawerecharacteristicfindings.ConclusionsT
7、herewerecharacteristicultrasonicmanifestationsinfetusewithtrisomy13syndrome.PrenataluhrasonographyiSareliableandeffectiveassistantmethodinfindingfetuseswithtriSOmv13syndromeearlierandiSveryimportantinclinictrials.【Keywords】Uhrasonography,prenatal;Trisomy13syndrome13一三體(triso
8、my13)綜合征又稱Pateau綜合征,識(shí)別和診斷水平不斷提高,可協(xié)助臨床產(chǎn)前及早發(fā)發(fā)生率為1/5000。13-三體綜合征常引起胎兒嚴(yán)重的現(xiàn)胎兒13一