超声诊断多发畸形胎儿1例
Journal of Clinical Ultrasound in Medicine(2013)
Abstract
孕妇,28岁,孕1产0,孕36周,孕8周后未做任何孕期检查.超声所见:胎儿双顶径9.0 cm,颅骨环完整,脊柱连续,生理弯曲不规则,头、颈部皮肤增厚,分别为1.5 cm、2.2 cm;右侧尺、桡骨正常平行关系显示不清,右手各指呈钩状,不能伸展(图1),左上肢受压显示不清;双侧股骨干长6.0 cm,双足向内向上弯曲(图2),连续观察1h,胎儿肢体形态未发生改变;羊水最大前后径12.4 cm.超声提示:中晚期妊娠,单活胎;胎儿皮肤水肿;羊水过多;胎儿多发畸形:①双足内翻;②双侧股骨短小;③钩状手(右手);④脊柱异常弯曲.引产后证实,胎儿双下肢短小,双足呈马蹄内翻(右足较轻,左足严重),双手呈钩状,胎儿颈部及头部皮肤水肿(图3).
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