实验室检查联合超声对孕妇TORCH感染诊断的意义研究  

The Significance of Laboratory Examination Combined with Ultrasound in the Diagnosis of TORCH Infection in Pregnant Women

作　　者：李幸丽 关灿彬 LI Xing-li;GUAN Can-bin(Department of Gynecology, Pingmei Shenma Medical Group General Hospital, Pingdingshan, Henan, 467012,China;Department of Dermatology, Pingmei Shenma Medical Group General Hospital, Pingdingshan, Henan,467012, China)

机构地区：[1]平煤神马医疗集团总医院妇科,河南平顶山467012 [2]平煤神马医疗集团总医院皮肤科,河南平顶山467012

出　　处：《临床研究》2019年第7期140-142,共3页Clinical Research

摘　　要：目的探究实验室检查联合超声对孕妇TORCH感染诊断的意义。方法选取2015年11月~2018年5月期间在本院接受孕检的300例孕妇作为研究对象,按诊断方法分为对照组(n=150,常规检查组)和观察组(n=150,实验室+超声检查组)。观察并分析两组孕妇TORCH-IgM检查情况、宫内感染情况及胎儿神经、血管发育情况,测量胎儿头部和四肢的大小等。结果①两组孕妇TORCH-IgM总体阳性率相仿,无显著差异(P> 0.05);②两组孕妇宫内感染情况相仿,无显著差异(P> 0.05),经过TORCH筛查后,观察组及时发现感染、终止妊娠情况优于对照组,P <0.05;③观察组孕妇妊娠结局优于对照组,差异显著(P <0.05),经过检查后观察组孕妇及时进行干预,具体体现在流产率显著高于对照组,差异具有统计学意义(P <0.05),死胎、早产、出生缺陷率均低于对照组,差异具有统计学意义(P <0.05)。结论实验室检查联合超声对孕妇TORCH感染诊断,可以及时发现宫内感染情况,对出生缺陷防治具有积极作用,可信度高,值得临床应用。Objective To investigate the significance of laboratory examination combined with ultrasound in the diagnosis of TORCH infection in pregnant women. Methods A total of 300 pregnant women who underwent pregnancy testing in our hospital from November 2015 to May 2018 were enrolled. They were divided into control group (n=150, routine examination group) and observation group (n=150, laboratory examination combined with ultrasound group)) according to the diagnostic method. The TORCH-IgM examination, intrauterine infection, fetal nerve and vascular development, and the size of the fetal head and limbs were observed, measured and analyzed. Results ① The positive rate of TORCH-IgM in the two groups was similar, there was no significant difference (P > 0.05).② There was no significant difference in intrauterine infection between the two groups (P > 0.05). After TORCH screening, timely detection of infection and termination of pregnancy of the observation group were better than the control group, P < 0.05.③ The pregnancy outcome of the pregnant women in the observation group was better than that of the control group, the difference was significant (P < 0.05). After the examination, the pregnant women in the observation group were promptly intervened, which was reflected in the significant abortion rate. Compared with the control group, the difference was statistically significant (P < 0.05), and the rate of stillbirth, premature delivery and birth defects were lower than the control group, and the difference was statistically significant (P < 0.05). Conclusion The laboratory examination combined with ultrasound can detect the intrauterine infection in time in pregnant women, and it has a positive effect on the prevention and treatment of birth defects, and has high credibility. It is worthy of clinical application.

关 键 词：实验室检查 超声 TORCH 感染 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]