81例胎儿畸形临床分析  

Clinical analysis on 81 fetuses with fetal malformation

作　　者：陈蔚[1] 胡春霞[1] 金松[1] 

机构地区：[1]海南医学院附属医院妇产科,海南海口570102

出　　处：《中国妇幼保健》2011年第24期3750-3751,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨超声在产前诊断胎儿缺陷中的临床价值。方法:对2008年1月～2010年12月在海南医学院附属医院就诊的6 000例不同孕周孕妇采用实时彩色多普勒超声进行系统检查,对胎儿畸形进行筛查和诊断。结果:在6 000例孕妇中,经引产或出生后证实的各种畸形81例,彩超筛查诊断胎儿畸形75例,漏诊6例,其中先天性小眼球畸形1例,先天性心脏畸形2例,多指畸形1例,颈部椎骨缺损1例,胸部巨大淋巴囊腺瘤1例。75例胎儿畸形的产前超声诊断、合并畸形与产后结果均经出生或引产后尸检证实。结论:妊娠各期进行彩超筛查,可以对胎儿形态结构方面的明显畸形进行产前诊断,对于降低出生缺陷发生率,提高人口素质具有重要意义。Objective：To explore the clinical value of ultrasound in prenatal diagnosis of fetal malformation. Methods：6 000 pregnant women of different gestational weeks from the hospital from January 2008 to December 2010 received systematical examination by color Doppler ultrasound,fetal malformation was screened and diagnosed. Results：Among 6 000 pregnant women,81 fetuses were found with various malformations confirmed by induced labor and delivery,75 fetuses with fetal malformation were screened out by color Doppler ultrasound,6 fetuses escaped from recognition,including one fetus with congenital microphthalmia,2 fetuses with congenital cardiac malformation,1 fetus with polydactyly,1 fetus with vertebrae defect of neck,1 fetus with huge cystadenoma lymphomatosum of chest.The prenatal ultrasonic diagnosis,combined malformation and postnatal result of 75 fetuses with fetal malformation were confirmed by delivery or autopsy after induced labor. Conclusion：Ultrasonic screening during different periods of pregnancy can diagnose apparent fetal morphological malformation and structural malformation before delivery,which is of great significance for reducing the incidence of birth defect and improving the quality of population.

关 键 词：超声 胎儿畸形 产前诊断 

分 类 号：R714.53[医药卫生—妇产科学]