孕早期应用二维和三维超声对患有脊柱裂的双面双臂双足胸腹联体双胎进行产前诊断。
Prenatal diagnosis of parapagus diprosopus dibrachius dipus twins with spina bifida in the first trimester using two- and three-dimensional ultrasound.
作者信息
Yang Pei-Yin, Wu Ching-Hua, Yeh Guang-Perng, Hsieh Charles Tsung-Che
机构信息
Department of Obstetrics and Gynecology, Chiayi Christian Hospital, Chiayi, Taiwan.
Obstetrics and Gynecology Ultrasound Lab, Changhua Christian Hospital, Changhua, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2015 Dec;54(6):780-3. doi: 10.1016/j.tjog.2015.10.010.
OBJECTIVE
Here, we report a case of parapagus diprosopus twins with spina bifida diagnosed in the first trimester of pregnancy using two-dimensional (2D) and three-dimensional (3D) ultrasound.
CASE REPORT
A 28-year-old Taiwanese woman, gravid 1, para 0, visited our hospital due to an abnormal fetal head shape discovered by 2D ultrasound at 11-weeks gestation. Parapagus diprosopus twins with spina bifida were diagnosed after ultrasound examination. The characteristics of parapagus diprosopus twins are more illustrative in 3D ultrasound than in 2D ultrasound. After counseling, termination of pregnancy was chosen by the couple. Although necropsy was declined, the gross appearance and radiograph of the abortus confirmed our diagnosis.
CONCLUSION
With the help of 3D ultrasound, we made an early and definitive diagnosis of conjoined twins.
目的
在此，我们报告一例在妊娠早期通过二维（2D）和三维（3D）超声诊断出的双面联胎伴脊柱裂病例。
病例报告
一名28岁的台湾女性，孕1产0，因妊娠11周时二维超声发现胎儿头部形状异常前来我院就诊。超声检查后诊断为双面联胎伴脊柱裂。双面联胎的特征在三维超声中比在二维超声中更具说明性。经过咨询，这对夫妇选择了终止妊娠。尽管尸检被拒绝，但流产胎儿的大体外观和X光片证实了我们的诊断。
结论
借助三维超声，我们对联体双胎进行了早期明确诊断。
Zotero 插件