摘要
目的:比较分析产前超声在诊断胎儿单纯性轻度侧脑室扩张中的价值。方法:将2014年1月至2016年1月入住中山市人民医院的120例进行产前超声诊断的孕妇,采用随机数字表法将其平均分成两组,其中对照组孕妇在孕期进行常规检查,观察组在对照组基础上,在孕早期、中期及晚期分别进行产前超声筛查,分析探讨产前超声诊断对胎儿单纯性轻度侧脑室扩张的检出率,比较诊断检出率与分娩后胎儿异常核型检出率的差异情况,与妊娠及引产结局观察筛查出畸形胎儿的临床疗效。结果:两组孕妇引产或正常分娩出胎儿为畸形分别为21例和17例,与产前筛查结果显示,经过不同检查后,观察组产妇产前筛查出胎儿单纯性轻度侧脑室扩张的临床准确率95.24%明显高于对照组70.59%,差异具有统计学意义(P<0.05);在孕中期筛查出胎儿单纯性轻度侧脑室扩张的情况较孕早期和孕晚期都要多,差异具有统计学意义(P<0.05)。结论:对于产妇进行产前超声诊断有重要意义,可准确判断胎儿单纯性轻度侧脑室扩张发生情况,对异常胎儿及早采取治疗及处理方案,切实地为异常核型胎儿家长提供意见,可行性高。
Objective To compare and analyze the significance of prenatal ultrasound in the diagnosis of fetal isolated mild ventriculomegaly. Methods： One hundred and twenty pregnant women who received prenatal ultrasound diagnosis in our hospital from January 2014 to January 2016 were included in this study, and they were randomly divided in two equal groups. Control group were given conventional pregnancy examination, while observation group was given early, mid and late prenatal ultrasound based on conventional pregnancy examination. The detection rate of prenatal ultrasound for fetal isolated mild ventriculomegaly was analyzed. The diagnostic detection rate was compared with the fetal karyotype abnormality detection rate after birth and the clinical incidence of fetal malformations after normal delivery and abortion. Results： There were 21 cases in the observation group and 17 cases in the control group with fetus malformation after normal delivery or abortion, prenatal screening results showed that, clinical detection rate of fetal isolated mild ventriculomegaly in the observation group （95.24 %） was obviously higher than that in the control group （70.59 %）, with statistically significant （P〈0.05）; the detection rate of of fetal isolated mild ventriculomegaly in the mid pregnancy period was significantly higher than that in the early and late periods （P〈0.05）. Conclusion： Prenatal ultrasound diagnosis plays an important role in pregnant women, accurately determines the occurrence of fetal isolated mild ventriculomegaly, provides evidence for the prevention and treatment of abnormal fetuses and abnormal karyotype fetuses, it is a highly feasible method.
出处
《深圳中西医结合杂志》
2016年第23期52-54,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
产前超声诊断
胎儿
单纯性轻度侧脑室扩张
Prenatal ultrasound diagnosis
Fetus
Fetal isolated mild ventriculomegaly
