彩色多普勒超声检查在胎儿畸形筛查中的作用分析

摘要

目的 探讨彩色多普勒超声检查在胎儿畸形筛查中的作用.方法 选择驻马店市中心医院2009年6月至2010年6月期间进行产前检查的孕妇1000例,均采取彩色多普勒超声按常规行胎儿畸形筛查,根据成像诊断,并统计诊断率及漏诊率.结果 彩色多普勒超声检查孕妇1000例中,通过彩色多普勒超声检查诊断畸形胎儿有15例,出生后被证实畸形婴儿16例,漏诊率为9.3％.畸形婴儿中4例脑积水,1例单纯脊柱裂,2例脊柱裂合并脑脊膜膨出,2例肾积水,3例唇腭裂,1例先天性心脏病,2例消化道畸形,1例缺指.结论 彩色多普勒超声对孕妇的胎儿检查,可对胎儿的大小、器官发育情况进行评测,并对结构异常的胎儿行诊断,是胎儿畸形筛查不可缺少的重要检查手段,可大幅度降低缺陷儿的出生率,提高人口素质,实现优生优育,对社会和孕妇家庭都有重要的价值,值得推广应用.%Objective To investigate the effect of ultrasonography on screening of fetal abnormalities.Methods From June 2009 to June 2010,1000 pregnant women underwent prenatal examination in our hospital were selected,fetal abnormalities were screened by ultrasound.Diagnosis was made according to the imaging,and the diagnostic rate and the rate of missed diagnosis was recorded.Results There were 15 cases of fetal malformation diagnozed by ultrasonography,16 cases of deformed babies was confirmed after birth,the misdiagnosis rate was 9.3％.Among the deformed babies,there were 4 cases of hydrocephalus,1 case of simple spina bifida,2 cases of spina bifida with cerebral spina bifida,2 cases of hydronephrosis,3 cases of cleft lip and palate,1 case of congenital heart disease,2cases of gastrointestinal malformation,1 case of lack of means.Conclusions Ultrasound examination of the fetus in pregnant women,can evaluate the development of fetal size,organ,and the fetal diagnosis for abnormal structure,is an important and indispensable examination method for screening of fetal malformation,which can greatly reduce the incidences of birth defects,improve population quality,implementation of eugenics,have important value to society and the maternal family,and is worthy of popularization and application.