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彩超规范化检查在产前胎儿畸形诊断的应用分析

王叶颖 董霞 王业珠 吴文海 李执正

中国医疗设备2017,Vol.32Issue(3):73-76,4.
中国医疗设备2017,Vol.32Issue(3):73-76,4.DOI:10.3969/j.issn.1674-1633.2017.03.019

彩超规范化检查在产前胎儿畸形诊断的应用分析

Application Analysis of Standard Prenatal Examination in Diagnosing Fetal Malformation by Color Doppler Ultrasonography

王叶颖 1董霞 1王业珠 1吴文海 1李执正1

作者信息

  • 1. 章丘区妇幼保健院 影像科,山东 济南250200
  • 折叠

摘要

Abstract

Objective To investigate the clinical value of standard inspection via color Doppler ultrasonography in the prenatal diagnosis of fetal malformation. Methods Six-thousand-and-one pregnant women (2987 cases at pregnant period of 11~14 weeks, the other 3014 cases at that of 20~24 weeks) from January 2015 to June 2016 in our hospital were selected to conduct standard examination by color Doppler ultrasonography, then the characteristics of fetal malformation and abnormal distribution with detection were compared and analyzed. Results Eighty-two cases of fetal malformation or abnormity were detected. Among them, 33 of 2987 cases at 11~14 weeks gestation period were detected deformity or abnormal, including abnormal Nuchal Translucency (NT) or neck hygroma in 16 cases (19.5%), central nervous system abnormalities in 5 cases (6.1%); 39 of 3014 cases at 10~24 weeks gestation period were detected deformity or abnormal, including cardiovascular system abnormalities in 17 cases (20.7%), fetus surface malformation in 10 cases (12.2%); there were 10 cases of missed diagnosis consisting of ventricular septal defect in 3 cases, finger (toe) abnormalities in 4 cases as well as ear abnormalities in 3 cases. The detection rate of fetal malformation through prenatal ultrasonography was 87.8%, which was of no obvious statistically difference with follow-up data of confirmed deformity after induced labor or delivery (P>0.05). Conclusion As a main detection method for prenatal diagnosis of fetal malformation, standardized examination by color Doppler ultrasonography had important clinical significance; the screening efficiency for fetal malformation could be improved if check accordingly at different gestational periods, which was worthy of popularization and application.

关键词

超声/规范化/产前/胎儿畸形/临床价值

Key words

ultrasonography/standardization/prenatal/fetal malformation/clinical value

分类

医药卫生

引用本文复制引用

王叶颖,董霞,王业珠,吴文海,李执正..彩超规范化检查在产前胎儿畸形诊断的应用分析[J].中国医疗设备,2017,32(3):73-76,4.

中国医疗设备

OACSTPCD

1674-1633

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