产前超声检查在胎儿先天畸形中的临床价值  

Clinical value of prenatal ultrasound examination on congenital malformations in the fetus

作　　者：姬冰[1] 袁建军[1] 王睿丽[1] 郭文清[1] 范志娜[1] 罗帅伟[1] 

机构地区：[1]河南省人民医院超声科,郑州450003

出　　处：《中国实用医刊》2014年第21期45-46,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨产前超声检查在胎儿先天畸形中的临床价值.方法 对本院2012年1月至2013年12月间25683例孕13～41周的妊娠妇女进行规范化产前超声检查,其中分娩或引产确诊胎儿畸形568例,对确诊胎儿畸形的568例胎儿彩超结果进行分析.结果 568例胎儿畸形中被彩超检查出且准确者565例,诊断准确率约99.4％,彩超检查出但不符合者1例,误诊率0.2％,未被彩超检测出者2例,漏诊率0.4％,各类畸形中,以神经系统畸形最常见,其次为泌尿系统畸形;35岁以上孕妇胎儿畸形发生率最高,25岁以下孕妇胎儿畸形发生率最低.结论 产前超声检查能发现绝大多数胎儿畸形,对指导临床采取合理有效的治疗措施有较高价值,女性应尽量把握科学生育阶段,对优生优育具有重要意义。Objective To study the clinical value of prenatal ultrasound examination on congenital fetal malformations.Methods From January 2012 to December 2013,there were 25683 cases of pregnanct women with 13-40 weeks in Henan provincial people＇ s hospital who received standardized prenatal ultrasonography.By prenatal ultrasound diagnosis,568 cases had fetal malformations by delivery or abortion.The ultrasoundresults of fetal malformation in 568 cases of fetal were analyzed.Results Among the 568 cases,there were 565 cases of fetal malformation by prenatal ultrasound diagnosis,the diagnosis accordance rate was 99.4％,2 cases were misdiagnosed,the misdiagnosis rate was 0.4％,1 case was missed diagnosis,the rate of missed diagnosis was 0.2％.The nervous system malformations were most common in all kinds of malformations,followed by cardiovascular malformations.Women over the age of 35 had the highest rate of fetal malformations,and women below the age of 25 had the lowest rate.Conclusions Standardized prenatal ultrasonography can find the vast majority of fetal malformations,and have the great value of guiding the clinical treatment rationally and effectively.Women should choose the childbearing age scientifically,which have an important significance of eugenics.

关 键 词：胎儿 先天畸形 超声诊断 临床价值 

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]