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[摘要] 意图 讨论神经系统发育存在反常的胎儿行以超声确诊办法对其宫内转归状况及预后状况的效果。 办法 归纳本院的就诊状况，随机挑选2015年1月～2017年1月期间在我院承受诊治的经超声确诊侧脑宽度在（9.00±0.80）mm的胎儿68例，将其作为A组，并于同期择取68例神经功能反常的胎儿作为B组。剖析两组胎儿在超声确诊设备下的成果和相关材料并予以全面的剖析和总结。 成果 在A组中，1例胎儿确诊发展成重度的扩张改变，5例发展为轻度的扩张改变，两组胎儿宫内转归状况的差异有统计学含义（P<0.05）；别的，胎儿的侧室宽度发展状况和预后存在较为明显的联络。 定论 在印象学临床傍边，侧脑宽度在（9.00±0.80）mm左右的胎儿很可能会发作宫内发展状况，针对这种状况有必要予以定时诊察，假如存在通明隔腔消失或者是脉络丛囊肿症状，有条件者需求承受MRI深化查看确诊；此外，针对宫内发展状况及颅脑急性发展较明显的胎儿，需求赶快确诊和干涉，以确保胎儿的健康。
[关键词] 神经系统发育反常；胎儿；宫内转归；预后；超声
[中图分类号] R445.1；R714.5 [文献标识码] B [文章编号] 1673-9701（2017）16-0097-03
[Abstract] Objective To explore the effect of ultrasound diagnostic measures on the intrauterine outcome and the prognosis of the fetuses with abnormal nervous system development. Methods Based on the treatment situation in our hospital， a total of 68 fetuses with lateral brain ventricle width（9.00±0.80） mm diagnosed and treated in our hospital from January 2015 to January 2017 were randomly chosen as group A . And 68 fetuses with neurological abnormalities in the same period were chosen as group B. The results and the relevant information of the two groups in the ultrasound diagnostic equipment were comprehensively analyzed and summarized. Results In the group A， 1 fetus was diagnosed with progression to severe dilatation change， 5 cases progressed to mild dilatation. There was a statistically significant difference in intrauterine outcome between the two groups（P<0.05）. In addition，there was a significant correlation between the progress of the lateral ventricle width and the prognosis in fetuses. Conclusion In the clinical imaging， the fetuses with lateral brain ventricle width（9.00±0.80） mm are likely to develop intrauterine progress. For this situation， it is necessary to check regularly. If there is a transparent compartment disappear or choroid plexus cyst symptom， then the fetus conditionally need to accept MRI in-depth examination for confirmation. In addition， for fetus with significant intrauterine progress and acute brain progress， diagnosis and intervention as soon as possible are needed to ensure the health of the fetus.
[Key words] Nervous system dysplasia； Fetus； Intrauterine outcome；Prognosis； Ultrasonography
近年來，发作神经系统反常症状的胎儿呈现出十分明显的发病概率，形成胎儿频频呈现这种状况的原因尚不清晰[1]。不过其形成的成果往往比较严重，发作宫内改变的危险比较大、发作变形症状的类型比较多[2]。为了能够实在有效地提高人口出世质量，防止变形儿出世，有必要要针对胎儿发育全过程予以紧密的监控，针对现已确诊的胎儿，需求及时行以引产[3]。本文挑选2015年1月～2017年1月期间在我院承受查看的136例胎儿材料，对其超声查看成果予以回忆性的剖析，现报导如下。
1 材料与办法
1.1 一般材料
归纳本院的就诊状况，随机挑选2015年1月～2017年1月期间在我院承受诊治的经超声确诊的侧脑宽度在（9.00±0.80）mm的胎儿68例，将其作为A组，其中男38例，女30例；并于同期择取68例神经功能反常的胎儿作为B组，其中男37例，女31例。两组患儿均现已扫除诊治材料不完善、多胎妊娠胎儿或其他发育不健全的胎儿。悉数胎儿的孕周状况、性别比等一般材料均无明显的差异，且研讨通过道德委员会的认可，能够进行研讨剖析。
