摘要
目的探讨彩色多普勒超声对不同孕周产前超声筛查胎儿畸形的临床价值。方法选取2016年1月-2018年3月在我院妇产科行产前检查孕妇6719例作为研究对象,经引产和产后证实先天胎儿畸形85例。6719名孕妇均在孕早期、孕中期及孕晚期接受彩色多普勒超声检查。通过对彩色多普勒超声胎儿畸形检查结果和最终确诊结果进行对比,分析彩色多普勒超声临床应用价值。结果引产和产后证实先天性胎儿畸形发生率1.27%(85例/6719例),彩色多普勒超声检出81例(81例/6719例),95.29%诊断符合率;通过彩色多普勒超声检查发现胎儿畸形以11~13+6W孕周最多,其次为20~24W孕周,最后为28~32W孕周以上。不同孕周孕妇出现胎儿畸形情况有统计学差异(P<0.05);不同年龄孕妇出现胎儿畸形情况,以35岁以上孕妇最多,31~34岁孕妇其次,最后为18~30岁,不同年龄孕妇出现胎儿畸形的情况存在统计学差异(P<0.05)。结论彩色多普勒超声检查可以在不同孕周产前准确检出胎儿畸形情况,将胎儿先天性缺陷出生率有效降低,提高新生儿生命质量,该检查技术具有较高应用价值。
Objective To explore the clinical value of color Doppler ultrasound in prenatal ultrasound screening for fetal malformations in different gestational weeks.Methods From January 2016 to March 2018,6719 pregnant women in the Department of Obstetrics and Gynecology in our hospital were selected as the research subjects.85 cases of congenital fetal malformation were confirmed by induction and postpartum.6719 pregnant women underwent color Doppler ultrasonography in early pregnancy,second trimester and third trimester.The clinical application value of color Doppler ultrasound was analyzed by comparing the results of color Doppler ultrasound fetal malformation with the final diagnosis.Results Induction and postpartum confirmed the incidence of congenital fetal malformation was 1.27%(85 cases/6719 cases),color Doppler ultrasound detected 81 cases(81 cases/6719 cases),95.29% diagnostic compliance rate;color Doppler ultrasound examination Fetal malformations were found to be 11~13+6 W gestational weeks,followed by 20~24 W gestational weeks,and finally 28~32 W gestational weeks.There were significant differences in fetal malformations among pregnant women of different gestational ages(P<0.05).The occurrence of fetal malformations in pregnant women of different ages was the highest among pregnant women over 35 years old,followed by pregnant women aged 31~34,and finally 18~30 years old.There was a significant difference in fetal malformation(P<0.05).Conclusion Color Doppler ultrasonography can accurately detect fetal malformation before delivery in different gestational weeks,effectively reduce the incidence of fetal congenital defects and improve the quality of life of newborns.This inspection technique has high application value.
作者
黄桂
易婷华
叶珊羽
叶桂芳
黄春荣
黄松带
Huang Gui;Yi Tinghua;Ye Shanya;Ye Guifang;Huang Chunrong;Huang Songdai(Department of ultrasound, huangjiang hospital, dongguan city, guangdong province guangdong dongguan 523750)
出处
《辽宁医学杂志》
2019年第3期13-15,共3页
Medical Journal of Liaoning
基金
广东省东莞市社会科技发展(一般)项目(项目编号:2018507150411457)
关键词
彩色多普勒超声
不同孕周
产前超声筛查
胎儿畸形
临床价值
Color Doppler ultrasound
Different gestational weeks
Prenatal ultrasound screening
Fetal malformation
Clinical value
