实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
Practical Journal of Clinical Medicine
2015年
6期
84-86,87
,共4页
中晚孕期%超声检查%胎儿畸形%检出效果%临床价值
中晚孕期%超聲檢查%胎兒畸形%檢齣效果%臨床價值
중만잉기%초성검사%태인기형%검출효과%림상개치
Middle and late pregnancy%Ultrasound%Fetal malformation%Positive effect%Clinical value
目的:探讨产前超声在胎儿畸形类别筛查中的应用价值。方法2014年2月至2015年3月在我院行胎儿早孕期超声检查正常的孕妇1200例,分别在中孕期(第21~30周)及晚孕期(第31~35周)复查超声。结果中孕期检出畸形胎儿14例(1.17%),其中中枢神经畸形检出率最高(3例),其次是心血管畸形、颜面部畸形、胎儿肿瘤、腹裂、脐膨出、双胎畸形、骨骼及四肢畸形、泌尿系统畸形、呼吸系统畸形、消化系统畸形。晚孕期检出畸形胎儿4例(0.33%),分别为呼吸系统异常、沁尿系统异常、颜面部异常及心脏异常。结论产前超声检查对胎儿畸形的诊断具有重要的意义。超声检查在中孕期对部分畸形类别效果欠佳,因此在孕晚期进行超声检查时需对胎儿的颜面部、呼吸系统及心血管等器官进行筛查,最大程度地降低畸形的漏诊率。
目的:探討產前超聲在胎兒畸形類彆篩查中的應用價值。方法2014年2月至2015年3月在我院行胎兒早孕期超聲檢查正常的孕婦1200例,分彆在中孕期(第21~30週)及晚孕期(第31~35週)複查超聲。結果中孕期檢齣畸形胎兒14例(1.17%),其中中樞神經畸形檢齣率最高(3例),其次是心血管畸形、顏麵部畸形、胎兒腫瘤、腹裂、臍膨齣、雙胎畸形、骨骼及四肢畸形、泌尿繫統畸形、呼吸繫統畸形、消化繫統畸形。晚孕期檢齣畸形胎兒4例(0.33%),分彆為呼吸繫統異常、沁尿繫統異常、顏麵部異常及心髒異常。結論產前超聲檢查對胎兒畸形的診斷具有重要的意義。超聲檢查在中孕期對部分畸形類彆效果欠佳,因此在孕晚期進行超聲檢查時需對胎兒的顏麵部、呼吸繫統及心血管等器官進行篩查,最大程度地降低畸形的漏診率。
목적:탐토산전초성재태인기형유별사사중적응용개치。방법2014년2월지2015년3월재아원행태인조잉기초성검사정상적잉부1200례,분별재중잉기(제21~30주)급만잉기(제31~35주)복사초성。결과중잉기검출기형태인14례(1.17%),기중중추신경기형검출솔최고(3례),기차시심혈관기형、안면부기형、태인종류、복렬、제팽출、쌍태기형、골격급사지기형、비뇨계통기형、호흡계통기형、소화계통기형。만잉기검출기형태인4례(0.33%),분별위호흡계통이상、심뇨계통이상、안면부이상급심장이상。결론산전초성검사대태인기형적진단구유중요적의의。초성검사재중잉기대부분기형유별효과흠가,인차재잉만기진행초성검사시수대태인적안면부、호흡계통급심혈관등기관진행사사,최대정도지강저기형적루진솔。
Objective To investigate the clinical value of prenatal ultrasound screening for fetal malformation of category. Methods During the period between February 2014 and March 2015,1200 normal pregnancy women in early pregnancy ultrasound ex-amination were re-examined during the second trimester(21~30 weeks)and the late pregnancy(31~35 weeks).Results Fourteen cases with fetal malformation were detected in the second trimester re-examination(1.17%).Of the 14 cases,the highest positive rate was central nervous system malformation( n=3) followed by cardiovascular malformations,fetal facial malformations,fetal tumors,gas-troschisis,umbilical bulging,twin malformation,skeletal deformity and the four limbs malformation,malformation of the urinary system, and abnormalities of respiratory system and digestive system.In the late pregnancy check,4 fetal malformations were found(0.33%). The malformations were abnormalities of respiratory system、malfarmation of urinary system.cardiovascular malformations and fetal facial malformations.Conclusion The prenatal ultrasound has an important value in diagnosis of fetal abnormalities.The effect of ultrasound examination in the middle pregnancy for some abnormal categories is not obvious.Therefore,ultrasound in the third trimester should screen fetal facial,respiratory system and cardiovascular system in order to reduce the rate of missing diagnosis.