胎儿畸形产前超声诊断132例研究

目的分析产前超声在胎儿畸形诊断中的临床价值，为临床诊断提供依据。方法对2011年1月～2012年12月于我院妇产科经超声产前检查诊断为畸形胎儿的超声检查结果进行分析。结果132例畸形胎儿中，103例为单系统畸形（78．03％）；29例存在两个或两个以上系统畸形（21．97％）；88例为单系统单一畸形（66．67％）；44例为单系统多发畸形（33．33％）。在〈25岁孕妇中，检出55例畸形胎儿（41．67％）；在25～29岁孕妇中，检出37例畸形胎儿（28．03％）；在30～35岁孕妇中，检出24例畸形胎儿（18．18％）；在〉35岁孕妇中，检出16例畸形胎儿（12．12％）。在孕周〈20周的孕妇中，检出23例畸形胎儿（17．42％）；在孕周20～28周的孕妇中，检出59例畸形胎儿（44．70％）；在孕周〉28周的孕妇中，检出50例畸形胎儿（37．88％）。结论产前超声检查具有诊断准确、操作简便易行、无创伤、可反复进行检查等优点，是我国预防畸形胎儿出生的有效干预措施之一。

The research of prenatal ultrasound used in the diagnosis of fetal malfor- mation in 132 cases

Objective To analyze the clinical value of prenatal ultrasound in diagnosis of fetal malformation, and to give basis for clinical diagnosis. Methods The clinical data of fetal malformation selected from 2011 January to 2012 December in our hospital were analyzed. Results The 132 case of abnormal fetus, 103 cases of single system malfor- mations （78.03%）; 29 cases had two or more than two system malformation （21.97%）; 88 cases of single system of single malformation （66.67%）; 44 patients were single system with multiple malformations （33.33%）. The 25 preg- nant women, there were 55 cases （41.67%）; fetal malformation in 25-29 years old women, there were 37 cases of fetal malformation （28.03%）; in 30-35 years old women, there were 24 cases of fetal malformation （18.18%）; in more than 35 years of pregnant women, 16 cases were found with fetal malformations （12.12%）. In gestational age 〈 20 weeks pregnant women, 23 cases were found with fetal malformations （17.42%）; in gestational age 20-28 weeks pregnant women, there were 59 cases （44.70%）; fetal malformation in pregnancy 〉 28 weeks pregnant women, 50 cases were found with fetal malformations （37.88%）. Conclusion Prenatal ultrasound has an accurate diagnosis, operation simple, non-invasive, repeatable inspection and other advantages, is one of the effective measures to prevent fetal malforma- tion.