辽宁省农村居民孕中期胎儿畸形超声筛查调查情况分析  

The analysis of ultrasound screening investigation of fetal anormalies during the second trimester of pregnancy for countryside pregnant women in Liaoning province

作　　者：刘明颖[1] 周洪伦 张雪峰 杨铁山 张玲 刁文丽[6] 李辉[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110004 [2]西丰县第一医院 [3]建平县妇幼保健院 [4]阜新县人民医院 [5]大洼县医院 [6]辽宁省疾病预防控制中心

出　　处：《中国优生与遗传杂志》2009年第10期96-97,共2页Chinese Journal of Birth Health & Heredity

基　　金：国家"十一.五"科技支撑计划;课题名称:孕中期胎儿畸形超声筛查技术的推广应用;课题编号:2007BAI07A13

摘　　要：目的对辽宁省农村居民孕中期胎儿畸形超声筛查情况进行调查分析,为进一步指导基层开展胎儿畸形筛查工作提供依据。资料与方法选择辽宁省西丰县、建平县、大洼县、阜蒙县四县于2004年1月至2007年9月妊娠的部分农村妇女400例为调查对象,调查具体内容包括如下:1.是否知道孕中期需要做胎儿畸形的产前筛查?2.是否在孕中期进行了胎儿畸形的产前筛查?3.您选择进行孕中期胎儿超声检查的医院?4.孕中期产前超声检查的费用?您对诊断费用的评价?您对产前超声诊断技术的效果评价?5.是否在产前发现胎儿畸形?是否终止妊娠?6.孩子出生后是否有畸形和发育异常?是否与产前超声诊断相一致?结果1.45例(11.3%)未进行孕中期胎儿畸形筛查。2.355例(88.7%)进行了孕中期胎儿畸形超声筛查,其中4例选择了省级医院(1.1%);36例(10.1%)选择了市级医院;182例(51.3%)选择了县级医院;133例(37.5%)选择了乡镇卫生院。3.82%的妇女认为筛查费用适用,11%的妇女认为筛查费用昂贵,7%的妇女认为筛查费用低廉。4.42%认为筛查效果很好,34%认为筛查有效,23%认为筛查效果一般,1%认为筛查效果不好。5.在随访的病例中,没有严重畸形儿发生,但12%的病例在筛查过程中发现轻微异常(包括轻度肾积水、轻度脑室扩张等),出生后未见异常表现。结论孕中期胎儿畸形超声筛查对降低出生缺陷儿的出生意义重大,增加宣传力度、提高全民意识、提高基层医务人员的技术水平,切实地在基层开展好孕中期胎儿畸形筛查工作。Objective： To analyze the ultrasound screening investigation of fetal anormalies for countryside women in the second trimester of pregnancy in Liaoning province, and provide the evidences and guideline of fetal anormalies screening in coutryside. Methods ： To choose 400 rural pregnant women of Xifeng county, Jianping county, Dawa county and Fumeng county of Liaoning province, and they all pregnanted between Jan of 2004 and Sep of 2007. The contents we investigated as follows： 1. Did you know it is necessary to have an examination of fetal anormalies prenatal screening in the second trimester of pregnancy？ 2. Did you have an examination in this priod？ 3. What kind of hospital did you choose to undertake the ultrasound screening in the second trimester of pregnancy？ 4. How much did you spend on it？ 5. Were there any fetal anormalies detected at antepartum？ Whether you had a termination of pregnancy or not？ 6. After birth, were there any abnormities or developmental anomalies？ Was it in conformity with the prenatal ultrasound diagno- sis？ Results： 1. 45 women （11.3%） didnt undertake fetal anomaly screening in the second trimester. 2. 355 women （88.7%） undertook the screening, among them, 4 （1.1%） chose province level hospital, 36 （10. 1% ） chose city level hospital, 182 （51.3%） chose county level hospital, 133 （37.5%） chose villages and towns Public health center. 3. 82% woman thought that the sieve checks cost suitable for use, 34% thought it cost expensive, and 7% thought it cost cheap. 4. 42% thought that the screening effect is very good, 34% thought the screening is effective, 23% thought that the screening effect is ordinary, 1% thought that the screening effect is not good. 5. In the follow -up cases, no serious anomalies were detected, but 12% cases showed slight anomalies in the screening procedure （a little nephrohydrops, a little ventricle dilation）. Conclusion： Ultrasound screening of fetal anomalies is very significant for reducing birth defect. We n

关 键 词：农村 孕中期 胎儿 畸形 超声 

分 类 号：R445.12[医药卫生—影像医学与核医学]