TORCH-IgM阳性孕妇胎儿产前超声诊断分析  

Prenatal ultrasound diagnosis of TORCH-IgM positive pregnant women

作　　者：李小莉[1] 韩碧波 田振英[1] 魏海东[1] Li Xiaoli;Han Bibo;Tian Zhenying;Wei Haidong(Zhengzhou Second Peoples Hospital,Zhengzhou 450000,Henan ,China)

机构地区：[1]郑州市第二人民医院,河南郑州450000

出　　处：《临床心身疾病杂志》2019年第4期112-114,共3页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨TORCH-IgM阳性孕妇胎儿产前超声检查的诊断价值.方法对724名孕妇采用酶联吸附法检测血清TORCH-IgM抗体,并进行超声检查,统计本组孕妇TORCH-IgM抗体阳性率,比较不同孕周孕妇TORCH-IgM抗体阳性率,比较TORCH-IgM抗体阳性及阴性孕妇超声异常检出率,观察TORCH感染胎儿产前异常超声表现及妊娠结局.结果本组孕妇中TORCH-IgM抗体阳性孕妇107例,阳性率为14.78%,其中TOX-IgM27例,RV-IgM28例,CMV-IgM22例,HSV-IgM30例.不同孕周孕妇TORCH-IgM抗体阳性率比较差异无统计学意义(P>0.05).不同孕周孕妇TORCH各病原体IgM阳性率比较差异均无统计学意义(P>0.05).TORCH-IgM抗体阳性孕妇超声异常检出率显著高于阴性孕妇(P<0.05).20例TORCH感染胎儿中,TOX感染4例、RV感染6例、CMV感染3例、HSV感染7例,共有4例孕妇选择引产,5例胎死宫内,11例妊娠结局良好.结论产前超声检查可以为妊娠期TORCH感染孕妇的临床处理提供参考依据,值得推广应用.Objective To investigate the prenatal ultrasound diagnosis of TORCH-IgM positive pregnant women.Methods Serum TORCH-IgM antibody was detected by enzyme-linked adsorption method in 724 pregnant women,and ultrasound examination was performed.The positive rate of TORC H-IgM antibody in this group of pregnant women was analyzed and compare the ultrasound abnormalities in TORC H-IgM antibody positive and negative pregnant women.Observe the prenatal abnormal ultrasound findings and pregnancy outcomes in TORCH-infected fetuses.Results There were 107 pregnant women with T ORCH-IgM antibody positive in this group,the positive rate was 14.78%,including 27 cases of TOX-IgM,28 ca-ses of RV-IgM,22 cases of CM V-IgM,30 cases of HSV-IgM.There was no significant difference in the positive rate of T ORC H-IgM antibody between pregnant women in different weeks ( P>0.05).There was no significant difference in the positive rate of TORC H pathogens IgM between pregnant women in different weeks ( P>0.05).The abnormal detection rate of ultrasound in pregnant women with TORC H-IgM antibody was significantly higher than that in negative pregnant women ( P<0.05 ).The ultrasound abnormal detection rate of TORC H-IgM antibody positive women was significantly higher than that in nega-ive pregnant women (P<0.05).Of the 20 cases T ORC H-infected fetuses,4 were T OX infection,6 were RV infection,3 were CMV infection,and 7 were HSV infection.Atotal of 4 pregnant women chose to induce labor,5 had fetal death,and 11 had good pregnancy outcomes.Conclusion Prenatal ultrasound examination can provide a reference for the clinical treatment of pregnant women with TORC H infection during pregnancy,which is worthy of promotion and application.

关 键 词：孕妇 病原体感染 TORCH-IGM 产前超声 胎儿 

分 类 号：R714.53[医药卫生—妇产科学]