产前超声检查在妊娠期病原体感染胎儿中的诊断价值  

Diagnostic value of prenatal ultrasonography in fetal infection during gestational

作　　者：李媛媛[1] 杨海霞 沈晓亚[2] 

机构地区：[1]东南大学附属中大医院江北院区.南京市大厂医院超声诊断科,江苏南京210044 [2]南京江北人民医院妇产科,江苏南京210048

出　　处：《西部医学》2018年第1期124-127,132,共5页Medical Journal of West China

基　　金：南京市医学科技发展项目(YKK13183)

摘　　要：目的探讨产前超声检查应用于妊娠期病原体感染胎儿中的诊断价值。方法选择2014年10月~2016年10月接收的行产前常规宫内感染病毒学(TORCH)检查的孕妇890例,对所有产妇采用TORCH-IgM检测,并将TORCH-IgM检测为阳性的孕妇给予超声检查诊断,比较检测结果和妊娠结局情况。结果 890例行产前常规TORCH检查的孕妇中,共272例发生病原体感染,感染率为30.56%。272例病原体感染孕妇中共172例为TORCH-IgM阳性,阳性率为63.24%(172/272)。TORCH-IgM总阳性率高于其他病原体感染阳性率,差异有统计学意义(P<0.05)。对172例TORCH-IgM阳性产妇进行产前超声诊断,共38例发生子宫胎儿发育异常,发生率为22.09%(38/172)。890例孕妇中共741例为正常分娩,TORCH阳性率为11.47%(85/741);另149例为妊娠结局不良,其中TORCH阳性率为58.39%(87/149)。正常分娩孕妇TORCH阳性率低于妊娠结局不良孕妇,差异有统计学意义(P<0.05)。结论产前超声结合TORCH检查应用于妊娠期病原体感染胎儿,可有效检出子宫胎儿发育异常情况,临床医生需加强孕妇对妊娠期病原体感染的认识,注意不同病原体特点,做好产前相关检查并及时采取有效应对措施。Objective To explore the diagnostic value of prenatal ultrasound in the diagnosis of fetal infection in pregnancy.Methods 890 pregnant women received prenatal intrauterine infection virology （TORCH） from October 2010 to October 2016 were selected. TORCHIgM was detected for all mothers and TORCHIgM was positive Pregnant women to give ultrasound diagnosis, compare test results and pregnancy outcome.Results Of 890 cases of prenatal routine TORCH examination of pregnant women, there were 272 cases with pathogen infection. The infection rate was 30.56%. There were 172 cases with TORCHIgM positive. The positive rate was 6324% （172/272）. The positive rate of TORCHIgM was higher than that of other pathogens （P〈0.05）. Of 172 cases of TORCHIgM positive mothers for prenatal ultrasound diagnosis, a total of 38 cases of uterine fetal development abnormalities, the incidence was 2209% （38/172）.The positive rate of TORCH was 1147% （85/741）,the positive rate of TORCH was 5839% （87/149） in 149 cases.The positive rate of TORCH was lower than that of pregnant women with normal pregnancy,the difference was statistically significant （P〈0.05）.Conclusion Prenatal ultrasonography can be used to diagnose abnormal fetal development in fetuses infected with pathogens during pregnancy. It is necessary to strengthen the understanding of pregnancy pathogen infection in pregnant women, pay attention to the characteristics of different pathogens to do prenatal examination, take effective measures in time, To ensure maternal and child safety.

关 键 词：产前超声诊断 妊娠期 病原体感染 胎儿 

分 类 号：R445.1[医药卫生—影像医学与核医学]