产前超声检查对胎儿畸形的诊断价值  

The Diagnostic Value of Prenatal Ultrasound in Fetal Malformation

作　　者：赵亚健 ZHAO Ya-jian(Jinzhou Women and Infants Hospital,Jinzhou 121000,China)

机构地区：[1]辽宁省锦州市妇婴医院,辽宁锦州121000

出　　处：《中国医药指南》2020年第11期148-149,共2页Guide of China Medicine

摘　　要：目的探究产前超声检查对胎儿畸形的诊断价值。方法研究对象为引产或足月分娩的58例孕妇,其58例胎儿均为先天性畸形,给予产前超声检查,了解产前超声检查对胎儿畸形诊断的价值。结果58例畸形胎儿中,43例诊断后进行引产处理,其余15例足月分娩。58例经孕妇分娩引产证实的畸形胎儿中,采用产前超声诊断胎儿畸形的有55例,漏诊3例,诊断准确率为94.8%。与病理检查对比差异不显著,P>0.05,无统计学意义。胎儿畸形类型包括神经系统畸形、泌尿生殖系统畸形、心血管系统畸形、消化系统畸形、面部畸形与肢体畸形。结论在孕妇中进行产前超声检查,可以及时发现胎儿畸形,以便尽早诊断与尽早治疗。产前超声诊断具有无创、操作简单快捷、诊断准确率高等优势,在胎儿畸形诊断中具有较高的应用价值。Objective To explore the diagnostic value of prenatal ultrasound in fetal malformation.Methods 58 pregnant women with induced labor or fullterm delivery were studied.All the 58 fetuses were born with congenital malformation.Prenatal ultrasound examination was given to understand the value of prenatal ultrasound examination in the diagnosis of fetal malformation.Results Of the 58 malformed fetuses,43 were induced labor after diagnosis,and the remaining 15 were delivered at term.Among 58 cases of malformed fetuses confi rmed by labor induction,55 cases were diagnosed by prenatal ultrasound,3 cases were missed,and the diagnostic accuracy was 94.8%.There was no signifi cant difference with pathological examination,P>0.05,no statistical signifi cance.The types of fetal malformations include nervous system malformations,urogenital system malformations,cardiovascular system malformations,digestive system malformations,facial deformities and limb deformities.Conclusion Prenatal ultrasound examination in pregnant women can detect fetal malformation in time for early diagnosis and treatment.Prenatal ultrasound diagnosis has the advantages of non-invasive,simple and quick operation,high diagnostic accuracy and high application value in the diagnosis of fetal malformation.

关 键 词：产前 超声检查 胎儿畸形 诊断价值 

分 类 号：R714.53[医药卫生—妇产科学]