中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2012年
24期
3708-3709
,共2页
畸形%超声检查,多普勒,彩色%产前诊断
畸形%超聲檢查,多普勒,綵色%產前診斷
기형%초성검사,다보륵,채색%산전진단
Congenital malformation%Color Doppler ultrasound%Prenatal diagnosis
目的 探讨彩色多普勒超声检查对胎儿畸形的诊断价值.方法 收集进行产前检查的孕妇5788例,根据体检情况,筛选具有胎儿先天性畸形高危因素的孕妇1591例作为观察组,无高危因素孕妇4197例作为对照组,进行产前彩色多普勒超声检查,对于发现先天性畸形的胎儿通过引产或分娩后检查来确认产前检查的准确率和漏诊率.结果 5788例孕妇中,经过产前彩色多普勒超声检查发现先天性畸形53例,其中唇裂14例、脐膨出2例、脊柱裂并脑积水6例、全前脑1例、内脏外翻4例、小脑蚓部缺失1例、共同房室瓣1例、多囊肾4例、尿道口膨出1例、法洛四联征1例、输尿管畸形1例、肺囊腺瘤1例、短肢畸形2例、骶膨出2例、无脑儿2例、淋巴管水囊肿4例、脑膨出1例、消化道闭锁1例、膀胱畸形1例、死胎1例、羊膜囊带综合征2例.通过引产后尸检或分娩后新生儿彩色多普勒超声检查,产前彩色多普勒超声检查诊断准确率100.00％.通过引产后尸检、分娩后新生儿彩色多普勒超声检查还发现先天性室间隔缺损1例、房间隔缺损2例,漏诊率5.66％.观察组发生先天性畸形46例,发生率2.89％;对照组发生先天性畸形7例,发生率0.17％;两组胎儿发生先天性畸形发生率差异有统计学意义(x2=8.12,P＜0.05).结论 产前彩色多普勒超声检查对胎儿先天性畸形诊断的准确率高,是胎儿先天性畸形产前筛查的有效方法.
目的 探討綵色多普勒超聲檢查對胎兒畸形的診斷價值.方法 收集進行產前檢查的孕婦5788例,根據體檢情況,篩選具有胎兒先天性畸形高危因素的孕婦1591例作為觀察組,無高危因素孕婦4197例作為對照組,進行產前綵色多普勒超聲檢查,對于髮現先天性畸形的胎兒通過引產或分娩後檢查來確認產前檢查的準確率和漏診率.結果 5788例孕婦中,經過產前綵色多普勒超聲檢查髮現先天性畸形53例,其中脣裂14例、臍膨齣2例、脊柱裂併腦積水6例、全前腦1例、內髒外翻4例、小腦蚓部缺失1例、共同房室瓣1例、多囊腎4例、尿道口膨齣1例、法洛四聯徵1例、輸尿管畸形1例、肺囊腺瘤1例、短肢畸形2例、骶膨齣2例、無腦兒2例、淋巴管水囊腫4例、腦膨齣1例、消化道閉鎖1例、膀胱畸形1例、死胎1例、羊膜囊帶綜閤徵2例.通過引產後尸檢或分娩後新生兒綵色多普勒超聲檢查,產前綵色多普勒超聲檢查診斷準確率100.00％.通過引產後尸檢、分娩後新生兒綵色多普勒超聲檢查還髮現先天性室間隔缺損1例、房間隔缺損2例,漏診率5.66％.觀察組髮生先天性畸形46例,髮生率2.89％;對照組髮生先天性畸形7例,髮生率0.17％;兩組胎兒髮生先天性畸形髮生率差異有統計學意義(x2=8.12,P＜0.05).結論 產前綵色多普勒超聲檢查對胎兒先天性畸形診斷的準確率高,是胎兒先天性畸形產前篩查的有效方法.
목적 탐토채색다보륵초성검사대태인기형적진단개치.방법 수집진행산전검사적잉부5788례,근거체검정황,사선구유태인선천성기형고위인소적잉부1591례작위관찰조,무고위인소잉부4197례작위대조조,진행산전채색다보륵초성검사,대우발현선천성기형적태인통과인산혹분면후검사래학인산전검사적준학솔화루진솔.결과 5788례잉부중,경과산전채색다보륵초성검사발현선천성기형53례,기중진렬14례、제팽출2례、척주렬병뇌적수6례、전전뇌1례、내장외번4례、소뇌인부결실1례、공동방실판1례、다낭신4례、뇨도구팽출1례、법락사련정1례、수뇨관기형1례、폐낭선류1례、단지기형2례、저팽출2례、무뇌인2례、림파관수낭종4례、뇌팽출1례、소화도폐쇄1례、방광기형1례、사태1례、양막낭대종합정2례.통과인산후시검혹분면후신생인채색다보륵초성검사,산전채색다보륵초성검사진단준학솔100.00％.통과인산후시검、분면후신생인채색다보륵초성검사환발현선천성실간격결손1례、방간격결손2례,루진솔5.66％.관찰조발생선천성기형46례,발생솔2.89％;대조조발생선천성기형7례,발생솔0.17％;량조태인발생선천성기형발생솔차이유통계학의의(x2=8.12,P＜0.05).결론 산전채색다보륵초성검사대태인선천성기형진단적준학솔고,시태인선천성기형산전사사적유효방법.
Objective Objective To study the clinical application value of color doppler ultrasound in the fetal malformation screening.Methods Pregnant women underwent prenatal screening were collected.According to the examination,the pregnant women who had the high risk factors of congenital malformation fetus were selected as the observation group,the normal pregnant women were selected as control group.They all underwent antenatal color doppler ultrasound examination,the prenatal diagnosis accuracy and the missed dignosis rate were confirmed through the induced labor or after delivery inspection.Results After prenatal color doppler ultrasonography,congenital malformation found in 53 cases,the diagnostic accuracy rate was 100％,the rate of missed diagnosis was 5.66％.Fetal congenital malformation found in 46 cases in the observation group,which was significantly higher than that in the control group.Conclusion The accuracy of prenatal color doppler ultrasound in the diagnosis of congenital malformation fetus was 100％,it is an effective method in prenatal screening of fetal congenital malformations.
