产前超声筛查出生缺陷漏诊原因分析  

Analysis of the missed diagnosis of prenatal u Itrasonography for the birth defects

作　　者：师莉莉[1] 赵华巍[1] 周秀云[1] 赵秀莲[1] 张利[1] 李晓君[1] 王树玉[2] 

机构地区：[1]北京市海淀区妇幼保健院,北京100080 [2]首都医科大学附属北京妇产医院,100026

出　　处：《中国优生与遗传杂志》2015年第7期75-76,84,共3页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨经规范化产前超声筛查后,新生儿出现出生缺陷的漏诊原因。方法回顾性分析2012年1月至2013年12月全程在北京市海淀区妇幼保健院进行规范化产前超声筛查未见异常,且在本院分娩的新生儿外观和检查有结构异常的数据资料,探讨新生儿存在出生缺陷的产前超声筛查漏诊原因。结果 25 416例孕妇中,新生儿存在先天缺陷310例,包括严重畸形24例、轻微畸形286例。在各类漏诊先天畸形中,以外生殖器异常最常见,其次为指/趾的畸形最为常见。轻微畸形发生率远高于严重畸形(P<0.05)。结论规范的产前超声筛查的情况下,产前超声不能或难以诊断的畸形,及在产前超声筛查检查范围之外的畸形是发生新生儿结构异常出生缺陷的主要原因。Objective：To discuss the missed diagnosis of prenatal ultrasonography for the birth defects. Methods：From January 2012 to December 2013,the statistic date about pregnant women indentified no prenatal abnormality by ultrasonic examination during the whole pregnancy and then delivered in Beijing Haidian and the birth defects through appearance observed and examined were analyzed. Results：Among 25 416 cases of pregnant women,310 neonate showed anomalous structure including 24 cases of severe malformations and 286 cases of slight malformations. Conclusion：The main reason of neonatal defects with anomalous structure is the malformation that would be impossible or hard to be diagnosed by standardized prenatal ultrasonography.

关 键 词：出生缺陷 产前 超声检查 畸形 

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]