彩色多普勒超声在产前胎儿畸形筛查中的应用价值

Application value of color Doppler ultrasonography in prenatal screening of fetal malformations

摘要:

 摘要：目的  探讨彩色多普勒超声诊断在产前胎儿畸形筛查中的应用价值。方法  回顾性分析2014年9月-2015年12月在该院行产前超声检查的孕妇1 387例（共1 402例胎儿）为研究对象，所有孕妇行≥1次彩色多普勒超声检查，常规检查胎儿基本情况，保存各切面图像并记录测量数据；观察胎儿畸形检出情况，并与产后或引产后临床诊断情况对比，分析产前彩色多普勒超声诊断仪应用价值。结果  1 402例胎儿经产后或引产后临床诊断证实畸形46例，畸形率为3.28%（46/1 402），产前超声筛查发现41例畸形胎儿，畸形检出率为2.92%（41/1 402），漏诊4例，误诊1例。结论  应用彩色多普勒超声诊断仪对胎儿畸形进行产前筛查，具有较高的检出率，可将其作为产前常规检查手段。

关键词:

 ;产前检查;彩色多普勒超声诊断仪;胎儿畸形;筛查

Abstract:

Abstract: Objective To explore the application value of color Doppler ultrasonography in the prenatal screening of fetal malformations. Methods Totally 1,387 pregnant women (a total of 1,402 fetuses) who were detected by prenatal ultrasonography in our hospital from September 2014 to December 2015 were retrospectively analyzed. All the women had 1 or more times of color Doppler ultrasound examination and routine examination of the basic situation of the fetuses, then the images of each section were saved and the measured, the data were recorded. The detection results of fetal malformations were observed and compared with the clinical diagnosis after delivery or induced labor, and the application value of prenatal color Doppler ultrasonic diagnostic apparatus was analyzed. Results In the 1,402 fetuses, 46 were confirmed to have fetal malformations after delivery or induction of labor, and the malformation rate was 3.28% (46/1,402). Prenatal ultrasound screening found 41 cases with abnormal fetuses, and the detection rate of malformations was 2.92% (41/1,402); 4 cases had missed diagnosis and 1 case had misdiagnosis. Conclusions The application of color Doppler ultrasonography in prenatal screening of fetal malformations has a high detection rate, which can be used as a routine prenatal examination.

Key words:

prenatal examination; color Doppler ultrasonic diagnostic apparatus; fetal malformation; screening