CAJ | 학술논문

目的：研究总结出生前使用B超筛查预防出生缺陷，提高人口出生素质。方法本文采取回顾性分析法进行研究。抽取我站妇产科2010年1月～2014年1月产检筛查出的24例畸形胎儿为研究对象。统计B超确诊率。结果本次研究中共检测1702名产妇，发生先天性畸形胎儿24例，发生率1.41%。先天性发育缺陷胎儿发生率逐年降低。包括：8例无脑儿（0.47%），6例脑积水（0.35%），2例脊柱断裂（0.12%），3例唇腭裂（0.18%），5例脊髓膨出（0.29%）。24例先天性畸形胎儿中，22例（91.67%）经B超检查确诊，2例（8.33%）由于街道计生服务站条件所限，未能通过超声检查进行准确判断，介绍到区级或市级医院检查确诊。24例先天性畸形胎儿孕周为15～30周，孕中期15～27周发生畸形胎儿19例，发生率79.17%，孕晚期28～30周发生畸形胎儿5例，发生率20.83%，孕中期检出胎儿畸形比例较高。结论孕中期进行产前检查有助于先天性畸形胎儿检出，使用B超筛查和预防先天性缺陷胎儿，方法无创、简便、有效。在临床进行和推广该产前检查方法时，进行专业超声医生培养和能力提升，有助于改善出生人口素质，尽量降低先天性缺陷娩出率。
목적：연구총결출생전사용B초사사예방출생결함，제고인구출생소질。방법본문채취회고성분석법진행연구。추취아참부산과2010년1월～2014년1월산검사사출적24례기형태인위연구대상。통계B초학진솔。결과본차연구중공검측1702명산부，발생선천성기형태인24례，발생솔1.41%。선천성발육결함태인발생솔축년강저。포괄：8례무뇌인（0.47%），6례뇌적수（0.35%），2례척주단렬（0.12%），3례진악렬（0.18%），5례척수팽출（0.29%）。24례선천성기형태인중，22례（91.67%）경B초검사학진，2례（8.33%）유우가도계생복무참조건소한，미능통과초성검사진행준학판단，개소도구급혹시급의원검사학진。24례선천성기형태인잉주위15～30주，잉중기15～27주발생기형태인19례，발생솔79.17%，잉만기28～30주발생기형태인5례，발생솔20.83%，잉중기검출태인기형비례교고。결론잉중기진행산전검사유조우선천성기형태인검출，사용B초사사화예방선천성결함태인，방법무창、간편、유효。재림상진행화추엄해산전검사방법시，진행전업초성의생배양화능력제승，유조우개선출생인구소질，진량강저선천성결함면출솔。
Objective To study the use of B-summary prenatal screening to prevent birth defects and improve the quality of birth. Methods 24 cases of abnormal fetus were selected as the study object in January 2010 to January 2014 in our hospital. Statistics B Super diagnosis. Results This study examined 1 702 women who were pregnant, 24 cases of congenital fetal malformation occurs, the incidence of 1.41%. Congenital defects decreased incidence of fetal year. Including: eight cases of anencephaly children (0.47%), 6 cases of hydrocephalus (0.35%), 2 cases of spinal fracture (0.12%), 3 cases of cleft lip and palate (0.18%), 5 cases of myelomeningocele (0.29%). 24 cases of congenital malformations in the fetus, 22 cases (91.67%) by the B-ultrasound diagnosis, 2 cases (8.33%) due to the family planning service station street conditions, it could not be accurately judged by ultrasound, introduced to the district or city hospitals diagnosed. 24 cases of congenital malformation fetus gestational age of 15~30 weeks, 15~27 weeks second trimester of fetal malformation 19 cases,the incidence of 79.17%, the third trimester of fetal malformation 28~30 weeks 5 cases, the incidence of 20.83%, the second trimester a higher proportion of fetal malformation detected. Conclusion Trimester prenatal care helps detecting congenital fetal malformation, using B-screening and prevention of congenital defects in the fetus, non-invasive, simple and effective. In clinical conduct and promotion of the prenatal examination methods, professional training and capacity building of ultrasound doctors, help to improve the quality of births to minimize the rate of birth defects is delivered.