Hahmann K, Issel E P
Zentralbl Gynakol. 1985;107(1):1-21.
The possibility to diagnose slight masked malformations increased in the last years both by improving technical ultrasonic equipment and progressive personal experience of the examiners. With regard to time and technique it is impossible to treat fully all possibilities of ultrasonics, because the time-patient-ratio would be to enormous, the malformation rate would be to low and not any malformation is followed by an obstetric consequence. Additionally most of the malformations can be diagnosed or excluded only in determined gestational weeks. Therefore we present as a compromise a checklist which guarantees as well as examination of 8-10 patients per hour as a detection of the most important malformations. Abnormalities like double monsters, hydrocephalus, anencephaly, microcephalus, posterior and anterior tumors, thoracal and abdominal cysts, micromely and amely should not escape. Smaller abdominal cysts caused by filled intestines are very frequent. Controlling these findings, like looking for defects of extremities e.g. dub-feet is impossible, but not necessary, too, because of the lacking antenatal consequences.
近年来,随着超声设备技术的改进以及检查人员个人经验的不断积累,诊断轻度隐匿性畸形的可能性有所增加。就时间和技术而言,不可能全面处理超声检查的所有可能性,因为时间与患者的比例会过高,畸形率会过低,而且并非所有畸形都会产生产科后果。此外,大多数畸形只能在特定孕周才能诊断或排除。因此,我们提出一份检查表作为折衷方案,它既能保证每小时检查8至10名患者,又能检测出最重要的畸形。像联体双胎、脑积水、无脑儿、小头畸形、前后部肿瘤、胸腹部囊肿、肢体短小和肢体缺失等异常情况不应被漏诊。由充满液体的肠道引起的较小腹部囊肿非常常见。由于缺乏产前后果,控制这些发现,如寻找四肢缺陷(如马蹄内翻足)是不可能的,也是不必要的。