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分析孕早期规范化超声筛查胎儿异常的效果

Analysis of the Effect of Standardized Ultrasound Screening for Fetal Abnormalities in Primary Hospitals in Early Pregnancy
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摘要 目的探析基层医院开展早期规范化超声筛查胎儿异常的效果。方法对2017年1月-2018年3月本院进行孕早期(11~13+6周)规划化超声筛查胎儿异常者500例进行回顾性分析,并联合孕中期、孕晚期超声筛查结果实施追踪分析,最终经分娩或引产证实。结果 500例经孕早期规范化超声筛查,其中10例胎儿异常,均经过转诊被确诊,胎儿异常检出率为2%。胎儿结构异常检出6例,4例检出指标异常,染色体核型检查2例,异常1例,均于本院引产,正常分娩1例。结论基层医院通过实施孕早期规范化超声筛查异常胎儿,具有较高的可行性和必要性,其可将胎儿实际状况清楚展现出来,有助于胎儿健康成长。 Objective To explore the effect of early standardized ultrasound screening for fetal abnormalities in primary hospitals. Methods From January 2017 to March 2018, 500 cases of abnormal fetuses screened by planned ultrasound in early pregnancy(11~13+6 weeks) were retrospectively analyzed. The results of ultrasound screening in mid-pregnancy and late pregnancy were followed up and analyzed. The results were confirmed by delivery or induced labor. Results 500 cases were screened by standardized ultrasound in early pregnancy. 10 cases of fetal abnormalities were diagnosed by referral. The detection rate of fetal abnormalities was 2%. Fetal structural abnormalities were detected in 6 cases, abnormal indicators in 4 cases, chromosome karyotype in 2 cases, abnormal in 1 case, induced labor in our hospital and normal delivery in 1 case. Conclusion Standardized ultrasound screening of abnormal fetuses in early pregnancy in grass-roots hospitals has high feasibility and necessity, which can clearly show the actual condition of fetuses and contribute to the healthy growth of fetuses.
作者 叶珊羽 黄桂 易婷华 郑靖莉 黄春荣 黄松带 应锦华 YE Shanyu;HUANG Gui;YI Tinghua;ZHENG Jingli;HUANG Chunrong;HUANG Songdai;YING Jinhua(Department of Obstetrics,Huangjiang Hospital,Dongguan Guangdong 523750,China)
出处 《中国卫生标准管理》 2019年第22期111-113,共3页 China Health Standard Management
基金 广东省东莞市社会科技发展项目(2018507150411457)
关键词 基层医院 胎儿异常 规范化超声 孕早期 早期筛查 胎儿结构异常 primary hospital fetal abnormalities standardized ultrasound early pregnancy early screening fetal structural abnormalities
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