妊娠早期超声筛查不同绒毛膜性双胎妊娠价值.docVIP

妊娠早期超声筛查不同绒毛膜性双胎妊娠价值 　　[摘要] 目的 探讨妊娠早期超声筛查不同绒毛膜性双胎妊娠的价值。 方法 随机选取于2012年1月～2014年6月到我院进行产前常规超声筛查病例500例，筛选出不同绒毛膜性的双胎胎儿，将其临床最后诊断情况与超声诊断情况进行比较，分析妊娠早期超声筛查双胎的绒毛膜性及在检查胎儿异常中的价值。 结果 进行产前超声筛查的病例中，双胎妊娠占7.60%，为38例，其中双绒毛膜囊双胎妊娠占81.57%，为31例，单绒毛膜囊双胎妊娠占18.42%，为7例，超声对妊娠早期38例双胎胎儿进行绒毛膜性分类的诊断结果与实际情况完全相符，正确率达89.47%，两组比较无显著统计学差异（P0.05），单绒毛膜囊双胎胎儿结构异常情况与超声诊断情况完全相同，正确率达75%，两组比较无显著统计学差异（P0.05），双绒毛膜囊双胎胎儿结构异常情况与超声诊断情况仅相差1例，正确率达83.87%，两组比较无显著统计学差异（P0.05），单绒毛膜性双胎胎儿孕妇的妊娠期高血压发生率为14.28%，妊娠期糖尿病发生率为14.28%，胎膜早破发生率为28.56%，羊水过多发生率为14.28%，与双绒毛膜性双胎胎儿孕妇的并发症发生情况差异不大，两组比较无显著统计学差异（P0.05）。 结论 妊娠早期超声筛查对于诊断双胎妊娠的绒毛膜性以及胎儿结构异常具有较高的准确性，可有助于准确的判断胎儿畸形，对于孕期处理有着极高的指导意义，值得在临床产前检查中广泛推广。 　　[关键词] 妊娠早期；筛查；不同绒毛膜性 　　[中图分类号] R714.5 [文献标识码] B [文章编号] 2095-0616（2015）13-165-04 　　[Abstract] Objective To explore the value of ultrasound in screening of different choriocarcinoma gemellary pregnancy at first trimester of pregnancy. Methods 500 patients who did antenatal conventional ultrasound screening in our hospital from January 2012 to June 2014 were screened twins fetuses of different choriocarcinoma. The last clinical diagnosis and ultrasonic diagnosis were compared to analyze the value of ultrasound in screening of twins fetuses’ choriocarcinoma and check fetuses’ abnormalities at first trimester of pregnancy. Results 38 patients with gemellary pregnancy accounted for 7.60% in patients who received obstetric ultrasound examination， among which 31 patients with double chorionic sac gemellary pregnancy accounted for 81.75%， and 7 patients with single chorionic sac gemellary pregnancy accounted for 18.42%. The diagnosis results of ultrasound in screening of different choriocarcinoma gemellary pregnancy were completely conformed to the truth， and the accuracy reached to 89.47%. The difference was not statistically significant （P0.05）. The single chorionic sac twins fetuses structure defect was completely conformed to ultrasound diagnosis， and the accuracy reached to 75%. The difference was not statistically significant （P0.05）. The