口腔医学研究 ›› 2017, Vol. 33 ›› Issue (1): 112-114.DOI: 10.13701/j.cnki.kqyxyj.2017.01.027

• 病例报告 • 上一篇    

产前诊断唇腭裂畸形的研究进展

刘丽萍1,杜杨格2#,杨小红1*,钦传奇2   

  1. 1. 湖北省妇幼保健院超声科 湖北 武汉 430070;
    2. 武汉大学口腔医学院 湖北 武汉 430079
  • 收稿日期:2015-08-17 出版日期:2017-01-25 发布日期:2017-01-22
  • 通讯作者: 杨小红,E-mail:yangxiaohong123@163.com
  • 作者简介:刘丽萍(1985~ ),女,湖北人,硕士,住院医师,主要从事产前超声诊断的临床工作。
    杜杨格(1994~ ),女,湖北武汉人,学士,主要从事口腔修复学的研究工作。
  • 基金资助:
    湖北省自然科学基金资助(编号:2014CFB210)

Progress of Prenatal Diagnosis of Cleft Lip and Palate.

LIU Li-ping1, DU Yang-ge2#, YANG Xiao-hong1*, QIN Chuan-qi2   

  1. 1. Maternity and Child Healthcare Hospital of Hubei Province. Wuhan 430070, China;
    2. Hospital of Stomatology, Wuhan University. Wuhan 430079, China.
  • Received:2015-08-17 Online:2017-01-25 Published:2017-01-22

摘要: 唇腭裂是胎儿颜面部最常见的先天性畸形,一半的病例为唇裂合并腭裂,可以孤立存在,也可合并与一些先天性畸形合并存在。由于唇腭裂畸形影响新生儿面容、吸吮、吞咽、语言及面部发育等功能,导致身心发育不良,给患儿和家庭带来不良影响。产前早期诊断胎儿唇腭裂畸形有利于孕妇得知胎儿患有唇腭裂畸形后向产科、儿科及正畸专家咨询及时作出是否继续妊娠的选择。产前超声检查是早期诊断唇腭裂最主要及最重要的筛选及诊断方法,并可进行唇腭裂分型并系统检查胎儿是否有其它器官合并畸形;胎儿磁共振对超声发现的唇腭裂特别是腭裂的诊断和严重程度评估上起辅助诊断作用。产前优生遗传检查可确定唇腭裂胎儿是否合并有染色体异常。

关键词: 唇腭裂, 产前诊断, 超声

Abstract: Cleft lip and/or palate (CL/P) is the most common orofacial malformation. Half of cases are Cleft lip and palate. CL/P may occur as an isolated finding or may be found in association with other congenital malformations. Major medical and psychological problems may ensue following this diagnosis for both the child and its family. It is important that they are diagnosed as early as possible during the antenatal period to allow adequate counseling of the parents and to provide neonatal care. Prenatal ultrasonographic screening is found to be an accurate tool for the prenatal diagnosis of CL/P in high risk groups, particularly when it is associated with other structural malformations. Magnetic resonance imaging may be ancillary to ultrasound in prenatal investigation of a fetus with cleft lip, allowing a better staging of the lesion by demonstrating the degree of involvement of the palate. Prenatal genetic examination can determine whether the fetus associated with CL/P cause chromosomal disease research.

Key words: Cleft, lip, and, palate, Postnasal, diagnosis, Ultrasound

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