彩超筛查妊娠中期胎儿畸形临床价值.docVIP

彩超筛查妊娠中期胎儿畸形临床价值 　　[摘要] 目的 研究彩超筛查妊娠中期胎儿畸形的临床价值。方法 整群选取该院2012年3月―2013年9月诊治的500例妊娠中期孕妇为研究对象，孕妇孕龄均在13～25周的孕中期，采用彩色多普勒超声对胎儿进行畸形筛查，观察胎儿的面部脑部、胸腔心脏、四肢脊柱以及胎儿附属物、羊水、胎盘等，参照产后诊断结果，对筛查结果进行回顾性分析。结果 彩色多普勒超声妊娠中期胎儿畸形检测分布无脑畸形2例、脑积水3例、脊柱裂3例、心血管畸形0例、唇腭裂2例、消化道畸形1例、胸腹腔肿瘤1例、泌尿系统畸形2例；产后诊断无脑畸形2例、脑积水4例、脊柱裂3例、心血管畸形1例、唇腭裂2例、消化道畸形1例、胸腹腔肿瘤2例、泌尿系统畸形2例。妊娠中期彩超检测共检测出畸形胎儿14例，畸形率2.8%，对照产后诊断结果畸形例数17例，畸形率3.4%差异无统计学意义（P0.05），彩超检测妊娠中期胎儿畸形形态例数与产后诊断分布例数基本吻合。结论 彩超筛查妊娠中期胎儿畸形准确度较高，能有效检测胎儿畸形情况，具有较大临床推广价值。 　　[关键词] 彩超筛查；妊娠中期；胎儿畸形 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）11（b）-0183-02 　　[Abstract] Objective To study the clinical value of color Doppler ultrasound in the screening of fetal malformation in the second trimester of pregnancy. Methods 500 cases of pregnant women in the second trimester of pregnancy and admitted into the hospital during March 2012 and September 2013 were selected as the research objects， and the gestational age of the pregnant women was in 13 to 25-week second trimester of pregnancy. The fetuses were screened by color Doppler ultrasound. The face and brain， pleural cavity and heart， limbs and spine of the fetuses and fetal appendages， amniotic fluid， placenta， etc. were observed. With reference to the results of the diagnosis， the screening results were retrospectively analyzed. Results The color Doppler ultrasound in the detection of fetal malformation in the second trimester of pregnancy showed that there were 2 cases of anencephaly， 3 cases of hydrocephalus， 3 cases of spina bifida， none case of cardiovascular malformation， 2 cases of cleft lip and palate， a case of digestive tract malformation， a case of pleuroperitoneal cavity tumor and 2 cases of urinary system malformation. The postpartum diagnosis showed that there were 2 cases of anencephaly， 4 cases of hydrocephalus， 3 cases of spina bifida， a case of cardiovascular malformation， 2 cases of cleft lip and palate， a case of digestive tract malformation， 2 cases of pleuroperitoneal cavity tumor and 2 cases of urinary sys