209例妊娠20～40周系统B超筛查异常病例多学科会诊结果分析  

Result Analysis of Multidisciplinary Consultation of 209 Cases of Ultrasound Screening Abnormalities in 20～40 Weeks' Gestation

作　　者：操植 冉利梅[2] 杨星[1] 唐瑶[2] CAO Zhi;RAN Limei;YANG Xing;TANG Yao(Guizhou Medical University, Guiyang 550025, Guizhou, China;The Affiliated Hospital of Guizhou Medical University, Guiyang 550004, Guizhou, China)

机构地区：[1]贵州医科大学,贵州贵阳550025 [2]贵州医科大学附院,贵州贵阳550004

出　　处：《贵州医科大学学报》2019年第4期493-496,共4页Journal of Guizhou Medical University

摘　　要：目的:探讨系统B超产前筛查异常胎儿多学科会诊的意义。方法:对门诊会诊中心209例妊娠20～40周孕妇行系统B超筛查异常胎儿影像学资料行多学科会诊的病例进行回顾性分析,统计参与会诊科室及例次、分析会诊前后的诊断及诊断率、统计各类畸形的例次及发生率,分析会诊建议对妊娠结局的影响。结果:会诊次数最多的科室为产科197例、新生儿科192例及产科超声186例,会诊前诊断明确97例、会诊后诊断明确患者196人,会诊确诊的前3位疾病为中枢神经系统畸形、消化系统畸形和心血管系统畸形,会诊后建议终止妊娠的90例孕妇行人工流产后诊断正确率为100%,80名(89.89%)新生儿行产后治疗痊愈或好转。结论:多学科会诊可为产前筛查异常病例提供有效的综合性治疗建议,有助于提高异常胎儿的诊断水平及新生儿的产后治疗痊愈率。Objective: To assess the significance of prenatal multidisciplinary consultation of ultrasound screening for abnormal fetuses. Methods: A retrospective analysis was conducted on 209 cases of gestational 20~40 weeks pregnant women undergoing systematic ultrasound screening of abnormal fetuses in outpatient consultation center for multidisciplinary consultation. The participated departments and cases were counted, diagnosis and diagnosis rate before and after consultation were analyzed, types of malformations and incidence rate were counted, and the influence of consultation advice on gestation outcomes was analyzed. Results: Departments with the highest number of consultations were Obstetrics, Neonatology, and Obstetric ultrasound, with 197 cases, 192 cases and 186 cases consulted respectively. 97 cases were diagnosed before consultation and 196 cases were diagnosed after consultation.The first three diseases diagnosed during consultations were central nervous system malformations, digestive system malformations and cardiovascular system malformations.The diagnostic accuracy rate of 90 pregnant women who recommended termination of pregnancy after consultation was 100%. 80 newborns(89.89%) were cured or improved after postnatal treatment. Conclusions: Multidisciplinary consultation can provide effective comprehensive treatment advice for abnormal cases undergoing prenatal screening, which is helpful to improve the diagnosis level of abnormal fetus and the cure rate of postnatal treatment for newborns.

关 键 词：妊娠 超声检查 产前 先天畸形 产前诊断 会诊 应用效果 

分 类 号：R714.53[医药卫生—妇产科学]