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1、超聲產(chǎn)前檢查對高危孕婦胎兒畸形的診斷價值陳果羅志遠(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)前檢查對高危孕婦胎兒畸形的診斷價值。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象,均進(jìn)行超聲產(chǎn)前檢查,對妊娠結(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
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,對其進(jìn)行超聲產(chǎn)前檢查能夠及時準(zhǔn)確的診斷胎兒畸形,同時超聲檢查具有操作簡單無損傷以及重復(fù)性較強(qiáng)等諸多特點,值得在產(chǎn)科中推廣使用。【關(guān)鍵詞】超聲產(chǎn)前;檢查;高危孕婦;胎兒畸形;診斷價值【中圖分類號1R445.1【文獻(xiàn)標(biāo)識碼]B【文章編號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,本次研究為探討超聲檢查在產(chǎn)科中的應(yīng)用價值,將分析超聲產(chǎn)前檢查對高危孕婦胎兒畸形的診斷