中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
29期
59-60
,共2页
胎儿肢体畸形%产前筛查%超声检查%临床效果
胎兒肢體畸形%產前篩查%超聲檢查%臨床效果
태인지체기형%산전사사%초성검사%림상효과
Fetal limb deformities%Prenatal screening%Ultrasonography%Clinical effect
目的：探讨超声检查对胎儿肢体畸形的诊断效果。方法选取2012年3月～2015年3月经尸检或引产证实胎儿为肢体畸形的孕妇79例为研究对象，均于产前行超声检查，观察其对胎儿肢体畸形的检出情况。结果所选孕妇产前超声检查确诊71例，检出率为89.87%，其中足内翻检出率为84.00%、四肢短小、上肢畸形、股骨歪曲检、手畸形检出检出率均为100.00%、多（并）趾、指检出50.00%、肢体姿势异常检出率83.33%，多（并）趾、指检出率较其他类型低，P＜0.05，差异具有统计学意义；所选孕妇产前超声检查结果显示，孕11～17 W检出率45.45%、孕18～24 W检出率96.30%、孕25～32 W检出率100.00%、孕33～足月检出率92.31%，孕11～17 W检出率较其他孕期低，P＜0.05，差异具有统计学意义。结论产前超声检查，对胎儿肢体畸形筛查具有较高准确性。
目的：探討超聲檢查對胎兒肢體畸形的診斷效果。方法選取2012年3月～2015年3月經尸檢或引產證實胎兒為肢體畸形的孕婦79例為研究對象，均于產前行超聲檢查，觀察其對胎兒肢體畸形的檢齣情況。結果所選孕婦產前超聲檢查確診71例，檢齣率為89.87%，其中足內翻檢齣率為84.00%、四肢短小、上肢畸形、股骨歪麯檢、手畸形檢齣檢齣率均為100.00%、多（併）趾、指檢齣50.00%、肢體姿勢異常檢齣率83.33%，多（併）趾、指檢齣率較其他類型低，P＜0.05，差異具有統計學意義；所選孕婦產前超聲檢查結果顯示，孕11～17 W檢齣率45.45%、孕18～24 W檢齣率96.30%、孕25～32 W檢齣率100.00%、孕33～足月檢齣率92.31%，孕11～17 W檢齣率較其他孕期低，P＜0.05，差異具有統計學意義。結論產前超聲檢查，對胎兒肢體畸形篩查具有較高準確性。
목적：탐토초성검사대태인지체기형적진단효과。방법선취2012년3월～2015년3월경시검혹인산증실태인위지체기형적잉부79례위연구대상，균우산전행초성검사，관찰기대태인지체기형적검출정황。결과소선잉부산전초성검사학진71례，검출솔위89.87%，기중족내번검출솔위84.00%、사지단소、상지기형、고골왜곡검、수기형검출검출솔균위100.00%、다（병）지、지검출50.00%、지체자세이상검출솔83.33%，다（병）지、지검출솔교기타류형저，P＜0.05，차이구유통계학의의；소선잉부산전초성검사결과현시，잉11～17 W검출솔45.45%、잉18～24 W검출솔96.30%、잉25～32 W검출솔100.00%、잉33～족월검출솔92.31%，잉11～17 W검출솔교기타잉기저，P＜0.05，차이구유통계학의의。결론산전초성검사，대태인지체기형사사구유교고준학성。
Objective To investigate the ultrasonography in the diagnosis of fetal limb deformities.MethodsSelected 79 cases of pregnant women who verify fetal limb deformities by three menstrual autopsy or abortion from March 2012 to March 2015 in our hospital, both of them in prenatal ultrasound examination to observe for the detection of cases of fetal limb deformities.Results The selected prenatal ultrasound diagnosis of 71 cases, the detection rate was 89.87%, which strephenopodia detection rate of 84.00 percent, short limbs, upper limb deformity, femur distort seized, hand deformities were detected in the detection rate 100.00%, more (and) toe, finger detection 50.00%, the detection rate of abnormal limb posture 83.33%, more ( and) toe, ifnger detection rate was lower than other types,P<0.05, had difference statistically significance, prenatal selected ultrasound examination showed that 11 to 17 weeks of pregnancy detection rate 45.45%, 18 to 24 weeks of pregnancy detection rate of 96.30%, 25 to 32 weeks pregnant 100.00% detection rate, full-term pregnant 33 was 92.31% detection rate, pregnant 11 to 17 weeks of pregnancy detection rate was lower than the others,P<0.05, had difference statistically signiifcance. ConclusionPrenatal ultrasound, screening for fetal limb deformities has high accuracy.
