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1、超聲產(chǎn)前檢查對(duì)高危孕婦胎兒畸形的診斷價(jià)值陳果羅志遠(yuǎn)王澤協(xié)鄒正霖王荔(四川省瀘州市人民醫(yī)院四川瀘州646000)【摘要】目的：分析超聲產(chǎn)前檢查對(duì)高危孕婦胎兒畸形的診斷價(jià)值。方法：將2011年3月?2014年5月期間，我院收治的1382例高危孕婦為研究對(duì)象，均進(jìn)行超聲產(chǎn)前檢查，對(duì)妊娠結(jié)局以及診斷資料進(jìn)行回顧性分析。結(jié)果：研究中1382例高危孕產(chǎn)婦胎兒分娩后共發(fā)現(xiàn)63例胎兒患有畸形，畸形率為4.6%,中樞神經(jīng)系統(tǒng)畸形21例33.3%；其次為心臟畸形患兒16例25.4%；除此之外還包扌舌其他畸形患兒等。高危孕婦產(chǎn)前經(jīng)經(jīng)過(guò)
2、超聲診斷確定共有畸形者62例，當(dāng)胎兒娩擊后發(fā)現(xiàn)有3例假陽(yáng)性者以及4例假陰性者。妊娠結(jié)局和超聲檢查的符合率為95.2%o結(jié)論：高危孕婦在牛產(chǎn)前，對(duì)其進(jìn)行超聲產(chǎn)前檢查能夠及時(shí)準(zhǔn)確的診斷胎兒畸形，同時(shí)超聲檢查具有操作簡(jiǎn)單無(wú)損傷以及重復(fù)性較強(qiáng)等諸多特點(diǎn)，值得在產(chǎn)科中推廣使用?！娟P(guān)鍵詞】超聲產(chǎn)前；檢查；高危孕婦；胎兒畸形；診斷價(jià)值【中圖分類號(hào)1R445.1【文獻(xiàn)標(biāo)識(shí)碼]B【文章編號(hào)J1003-5028(2015)5-0131-01Prenatalultrasoundexaminationofhigh-riskpregnan
3、twomentoassessthediagnosticvalueoffetalabnormalitiesChenGuoLuoZhi-yuanWangZe-liZouZheng-linWangLi(DepartmentofUltrasound,Luzhoupeople'shospital,Luzhou646000,China.)[Abstract]Objective:toanalyzeultrasonicantenataIexaminationofhigh-riskpregnantwomentoassessthed
4、iagnoSticvalueoffetalabnormalities.Methods:inMarch,2011?May2014,ourhospital1382casesofhigh-riskpregnantwomenastheresearchobject,boththeultrasonicantenatalexamination,thepregnancyoutcomeanddiagnosticdatawereretrospectivelyanalyzed.Results:inthestudyof1382cases
5、ofhighriskofmaternalfetalchildbirthwerefoundafter63caseswithdeformityfetus,themalformationratewas4.6%,childrenarethemostcommoncentralnervoussystemabnormalitieswith21casesof33.3%;Followedbycardiacmalformationwith16casesof25.4%;Inadditionalsoineludestheotherabn
6、ormalitiesinchildrenwithurinarysystem,etc.High-riskbetweenprenatalultrasonicdiagnosisconfirmationbyatotalof62casesofdeformity,whenafterarrivalfetalchildbirth,3and4periodperiodpositienegatie.Pregnancyoutcomesandtheaccuracyofultrasoundwas95.2%.Conclusion:genoty
7、pingofhighriskpregnantwomenbeforeproduction,ontheultrasonicantenatalexaminationinatimelyandaccuratediagnosisoffetalabnormalities,atthesametimeultrasoundhassimpleoperation,nodamageandrepeatabilitymanycharacteristics,suchasstrongworthusedwidelyinobstetrics.【Key
8、words]Prenatalultrasound,Examination,High-riskpregnantwomenandfetalabnormalities,DiagnoSticvalue胎兒畸形具有一定的復(fù)雜性、多樣性以及不可預(yù)見(jiàn)性，因此胎兒畸形的產(chǎn)前檢查早已成為了產(chǎn)科中的診斷難點(diǎn)，本次研究為探討超聲檢查在產(chǎn)科中的應(yīng)用價(jià)值，將分析超聲產(chǎn)前檢查對(duì)高危孕婦胎兒畸形的診斷
