中国妇幼健康研究2016，Vol.27Issue(9)：1071-1073,3.DOI:10.3969/j.issn.1673-5293.2016.09.014
早孕期超声筛查在胎儿结构畸形诊断中的应用
Application of early prenatal systemic ultrasound screening in diagnosis of fetal deformity
霍晓恺 1刘泰石 2解耀锃1
作者信息
- 1. 聊城市第二人民医院，山东聊城252600
- 2. 泰山医学院放射学院，山东泰安271000
- 折叠
摘要
Abstract
Objective To explore the clinical value of early prenatal systemic ultrasound screening in diagnosis of fetal deformity.Methods Sixty-four pregnant women who accepted prenatal ultrasound examination during 11 to 13 +6 gestational weeks in the Second People ’ s Hospital of Liaocheng City from May 2013 to May 2015 were selected to do the early prenatal ultrasound screening.Medium-term prenatal ultrasound was done among the cases of 22 -24 +6 weeks of pregnancy (continuous scan method), and the final results were tracked. Results The fetus deformity detection rates of early prenatal ultrasound screening and medium-term prenatal ultrasound in both groups were not obviously different (χ2 =1.03,P>1.03).Compared to the detection rates of single early prenatal ultrasound screening or single medium-term prenatal ultrasound, the deformity rate in the joint early prenatal ultrasound and medium-term prenatal ultrasound showed significant difference (χ2 =4.53,P<0.05; χ2 =5.39, P<0.05).There were 36 types of fetal structural deformity detected in early prenatal ultrasound.The top three were as follows: cervical cystic carcinoma and NT thickening ( 33.33%) , facial abnormality (25.00%), and anterior abdominal wall abnormality (11.11%).There were 42 types of fetal structural deformity detected in medium-term prenatal ultrasound.The top three were as follows: cardiovascular abnormalities (30.95%), facial abnormalities (21.43%), and central nervous system abnormalities (11.11%).In the results of systemic ultrasound screening in early and medium-term pregnancy, the distribution rates of all kinds of structural deformity were significantly different (χ2 value ranged 4.55 to 6.32, all P<0.05).Conclusion The detection rate of fetal structural deformity is higher in early prenatal systemic ultrasound screening which, however, cannot completely replace the medium-term ultrasound.The joint examination of early and medium-term prenatal ultrasound is suggested to improve the detection rate of fetal deformity.关键词
早孕系统性超声/筛查/胎儿结构畸形/诊断Key words
early prenatal systemic ultrasound/screening/fetal structural deformity/diagnosis分类
医药卫生引用本文复制引用
霍晓恺,刘泰石,解耀锃..早孕期超声筛查在胎儿结构畸形诊断中的应用[J].中国妇幼健康研究,2016,27(9):1071-1073,3.
