177例围产儿先天性畸形病理尸检分析  

Autopsy analysis of 177 cases of congenital malformation in the perinatal

作　　者：沈家园 包磊[2] 蔡红光[2] 任丽芳[2] 

机构地区：[1]绍兴市第六人民医院,浙江312000 [2]绍兴市妇幼保健院,浙江312000

出　　处：《中国优生与遗传杂志》2015年第3期87-88,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的提高临床对胎儿先天性畸形的检出率及准确率。方法回顾绍兴市妇幼保健院病理科2006年至2013年370例围产儿死亡资料,分析围产儿先天性畸形的发病率及发病类型。结果 8年来围产儿尸检共370例,其中先天性畸形围产儿177例,占47.84%,成为围产儿死亡的首要原因,其中排在前三位分别为中枢神经系统(31.64%)、心血管系统(24.29%)、颌面五官系统(15.83%),三者占71.76%,是胎儿先天性畸形的常见类型。结论尸检有助于明确先天性畸形的发生类型,了解围产儿畸形发生的规律,进一步证实、澄清及矫正诊断,为临床积累宝贵的经验。Objective：To promote the detection and accuracy rate of fetus congenital malformation. Methods：Reviewing the autopsy documents of 370 cases of the perinatal death form 2006 to 2013 in pathology department of Shaoxing Women and Children Hospital,analyze the morbility and type of congenital malformation in perinatal. Results：The cases of autopsy of the perinatal were 370,in which 177 cases of congenital malformation accounted for 47.8%,becoming the leading reason of perinatal death. The first three reasons were central nervous system（31.6%）,cardiovascular system（24.29%）,and maxillofacial system（15.83%）accordingly,which accounting for 71.76%,were the common types of congenital malformation. Conclusions：Autopsy contributes to ascertaining the type of congenital malformation,understanding the occurrence regularity of perinatal malformation,further affirming,clarifying and rectifying the diagnosis,eventually gathering valuable clinical experience.

关 键 词：先天性畸形 围产儿 尸检 

分 类 号：R714.7[医药卫生—妇产科学]