泰安市妇幼保健院2009-2012年超声产前诊断胎儿畸形分析  

Analysis of ultrasound prenatal diagnosis fetal malformations of Taian’s Maternity&Child Hospital

作　　者：张格云[1] 李婧[1] 

机构地区：[1]泰安市妇幼保健院

出　　处：《中国医院统计》2015年第1期13-16,共4页Chinese Journal of Hospital Statistics

摘　　要：目的：通过对超声产前诊断结果进行分析。了解胎儿畸形的发生率、发生畸形的种类、年度发展趋势及受孕时间、妊娠年龄与胎儿畸形发生率的关系。方法对2009—2012年来我院进行产前超声诊断的妊娠妇女的一般情况和检查结果逐个进行登记，汇总后进行全面统计分析。结果在8452例孕妇产前超声检查中筛查出胎儿畸形290例，总发生率为3.43%，前3位依次为循环系统畸形98例，发生率1.16%，中枢神经系统畸形55例，发生率0.65%，泌尿系统畸形43例，发生率0.51%；各年度畸形发生率呈现波浪式起伏；受孕时间与胎儿畸形发生率有关，冬、春季受孕者胎儿畸形发生率明显高于夏、秋季受孕妇女；妊娠妇女年龄同胎儿畸形发生率有关，年龄越大，畸形发生率越高。结论超声检查在产前诊断中具有极其重要的价值。超声检查可以筛查出绝大多数的胎儿解剖结构畸形，对降低出生缺陷的发生率，提高人口素质是一项极为有力的举措。应广泛开展围产期保健和优生优育的健康教育。Objective Through the analysis of the results of ultrasound prenatal diagnosis in our hospital, to understand the relationship between the incidence, the type, the development trend of the year, time to pregnancy,gestational age and the incidence of fetal malformations. Methods General conditions and test results of pregnant women from 2009 to 2012 were regis-tered individually, to conduct a comprehensive summary of the statistical analysis. Results There are 290 fetal malformations in 8 452 women who took the ultrasonic testing with a total incidence of 3. 43%. Among the 290 malformations, the top three are 98 circulatory system malformations with an incidence of 1. 16%, 55 central nervous system malformations with an incidence of 0. 65% and 43 urinary system malformations with an incidence of 0. 51%. The incidence of malformations in different years are changing. Time to pregnancy is related to the malformations. The incidence of malformations is higher if a woman gets pregnant in winter or spring and lower in summer and autumn. The age of the pregnant women is also related to malformations. The older the woman is, the higher the incidence will be. Conclusion Ultrasonography has an extremely important value in prenatal diagno-sis. the vast majority of fetal malformation from anatomical structure can be screened out by Ultrasound. Ultrasonography is a very powerful measure to reduce the incidence of birth defects and improve the quality of the population. Health education perinatal care and prenatal and postnatal care should be carried out widely.

关 键 词：超声检查 产前诊断 胎儿畸形 

分 类 号：R714.1[医药卫生—妇产科学]