产前胎儿系统超声检查对孕中晚期胎儿畸形筛查的价值  

Value of ultrasonography on the prenatal diagnosis of fetal malformation in middle and late pregnancy

作　　者：孙星星[1] 朱向明[1] 张文君[2] 贺祎[2] 

机构地区：[1]皖南医学院弋矶山医院超声医学科,安徽芜湖241001 [2]湖北医药学院附属太和医院超声科

出　　处：《中国优生与遗传杂志》2014年第2期103-104,F0004,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的讨论产前胎儿系统超声检查对胎儿形态、结构畸形筛查的诊断和价值。方法对7826例(18w-40w)中晚期胎儿进行彩超产前胎儿结构和形态的系统筛查,并且按照英国胎儿基金会超声检查规范,采集21幅标准图片并进行图片存储,对产后诊断结果进行回顾性分析。结果产前超声系统筛查出192例畸形胎儿,经引产或出生后证实,漏诊8例,诊断检出率95.83%,单发畸形162例(162/192,84.37%),多发畸形27例(27/192,14.06%),双胎畸形3例(3/192,1.56%)。结论胎儿系统超声检查对胎儿形态、结构畸形的诊断具有重要的价值,它是产前诊断胎儿畸形的首选方法。Objective ： To assess the value of ultrasound on the prenatal diagnosis of fetal morphology and malformation. Methods ： Prenatal screening has been carried out in 7826 fetal within 18 -40 weeks about fetal structures and fetal morphology. A retrospective analysis was performed according to the regulation of London fetal medicine foundation, 21 pictures were collected and restored in the prenatal diagnosis. Results： Totally 192 fetal malformation structures from prenatal screening, including 8cases of missed diagnosis, detection rate of diagnosis was 95.85%, 162cases of single malformation （ 162/192, 84. 37% ）, 27cases of multiple malformations （27/192, 14. 06% ）, 3 cases of twin abnormalities （3/192, 1.56% ）. Conclusion： Prenatal ultrasonography which is the primary method on fetal malfornmtion has a significant value ultrasound on the prenatal diagnosis of fetal morphology and malformation.

关 键 词：中晚孕 胎儿系统筛查 产前诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]