超声产前检查对高危孕妇胎儿畸形的诊断价值.docVIP

精品论文 参考文献 超声产前检查对高危孕妇胎儿畸形的诊断价值 陈 果 罗志远 王泽珕 邹正霖 王 荔 　　（四川省泸州市人民医院 四川 泸州 646000） 　　【摘 要】目的：分析超声产前检查对高危孕妇胎儿畸形的诊断价值。方法：将2011年3月-2014年5月期间,我院收治的1382例高危孕妇为研究对象，均进行超声产前检查，对妊娠结局以及诊断资料进行回顾性分析。结果：研究中1382例高危孕产妇胎儿分娩后共发现63例胎儿患有畸形，畸形率为4.6%，中枢神经系统畸形21例33.3%；其次为心脏畸形患儿16例25.4%；除此之外还包括其他畸形患儿等。高危孕妇产前经经过超声诊断确定共有畸形者62例，当胎儿娩出后发现有3例假阳性者以及4例假阴性者。妊娠结局和超声检查的符合率为95.2%。结论：高危孕妇在生产前,对其进行超声产前检查能够及时准确的诊断胎儿畸形，同时超声检查具有操作简单无损伤以及重复性较强等诸多特点，值得在产科中推广使用。 　　【关键词】超声产前；检查；高危孕妇；胎儿畸形；诊断价值 　　【中图分类号】R445.1 【文献标识码】B 【文章编号】1003-5028（2015）5-0131-01 　　Prenatal ultrasound examination of high-risk pregnant 　　women to assess the diagnostic value of fetal abnormalities 　　Chen Guo Luo Zhi-yuan Wang Ze-li Zou Zheng-lin Wang Li 　　(Department of Ultrasound ,Luzhou peoples hospital,Luzhou 646000，China.) 　　【Abstract】Objective: to analyze ultrasonic antenatal examination of high-risk pregnant women to assess the diagnostic value of fetal abnormalities. Methods: in March, 2011 - May 2014, our hospital 1382 cases of high-risk pregnant women as the research object, both the ultrasonic antenatal examination, the pregnancy outcome and diagnostic data were retrospectively analyzed. Results: in the study of 1382 cases of high risk of maternal fetal childbirth were found after 63 cases with deformity fetus, the malformation rate was 4.6%, children are the most common central nervous system abnormalities with 21 cases of 33.3%; Followed by cardiac malformation with 16 cases of 25.4%; In addition also includes the other abnormalities in children with urinary system, etc. High-risk between prenatal ultrasonic diagnosis confirmation by a total of 62 cases of deformity, when after arrival fetal childbirth, 3 and 4 period period positie negatie. Pregnancy outcomes and the accuracy of ultrasound was 95.2%. Conclusion: genotyping of high risk pregnant women before production, on the ultrasonic antenatal examination in a timely and accurate diagnosis of fetal abnormalities, at the same time ultrasound has simple operation