烟台市规范化超声系统筛查胎儿缺陷顺位调查  

作　　者：王允芹[1] 李传红[1] 宋修芹 贾淑华[1] 赵艳[1] 

机构地区：[1]山东省烟台市烟台山医院超声科,264000

出　　处：《浙江临床医学》2016年第8期1484-1486,共3页Zhejiang Clinical Medical Journal

摘　　要：目的了解烟台市近两年胎儿先天缺陷的发生情况及其顺位，了解缺陷胎儿预后情况。方法对2013#-1月＆2014年12月孕22—28周产前超声系统筛查诊断的有缺陷胎儿，统计分析胎儿的各系统先天缺陷的发生情况及其顺位，随访缺陷胎儿预后。结果113104~,]胎儿中孕超声筛查诊断胎儿缺陷469例，超声检出胎儿缺陷发生率约4．2％，其中心血管系统缺陷是例数最多的缺陷类型，其余〉10＂N的缺陷类型依次为泌尿生殖系统缺陷、全身多系统缺陷、面部缺陷、肌肉骨骼系统缺陷、中枢神经系统缺陷、胸部缺陷、消化系统缺陷和胎儿水肿综合征。随访缺陷严重胎儿绝大多数均引产，轻微缺陷胎儿预后良好。结论中孕超声系统筛查胎儿心血管畸形发生率居首位，提示所有孕妇进行中孕胎儿心脏筛查是必要的，胎儿·,xIlg超声筛查技术应广泛普及。重视胎儿缺陷预后随访，有利于指导临床产前诊断咨询，减少不必要的引产。Objective To study the overall incidence and its sequence, prognosis of the fetal birth defects in the past two years in Yantai city. Methods We studied the fetus at 22 - 28 weeks＇ gestational age with defects diagnosed by ultrasonography from January 2013 to December 2014, and analyed of the fetus birth defects occurrence and the sequence, and made a follow-up to explore the prognosis. Results Four hundred and sixty-nine of 11310 cases were diagnosed of fetal defects, the incidence was about 4.2%. The cardiovascular system defect was the most common type, folowed by the urogenital system, multiple system, facial region, musculoskeletal system, central nervous system, chest, digestive system and hydrops fetalis syndrome. Most severe fetal defects led to induced labor in the follow-up, and minor fetal defects had good prognosis. Conclusion The incidence of fetal cardiovascular system defects was in the first place in fetal abnormalities in Yantai city. It is necessary to take the fetal cardiac ultrasound screening for all the pregnant women in trimester. Follow-up of fetal defects help guide clinical prenatal diagnosis consultation and reduce unnecessary induced labor.

关 键 词：中孕 超声系统筛查 胎儿缺陷 顺位 预后 

分 类 号：R714.5[医药卫生—妇产科学]