孕中晚期彩色多普勒超声检查胎儿畸形的回顾分析

Retrospective Analysis of Screeing for Fetus Congenital Malformation in the Second and Third Trimester Pregnancy with Multicolor Dopplor Ultrasound

目的:探讨彩色多普勒超声检查对胎儿畸形的临床诊断价值。方法:对本院2001年1月～2007年1月4860例孕中晚期畸形胎儿彩色多普勒检查结果进行回顾性分析。结果:检出胎儿畸形62例,均经引产、尸检或出生后证实。彩色多普勒超声诊断符合率95.4%(62/65),漏诊3例,漏诊率4.6%(3/65)。结论:彩色多普勒超声检查可以发现大多数胎儿形态结构异常,使一些致死性和非致死性畸形及早诊断,为临床选择治疗方法提供重要指征。

Objective： To evaluate the chnical values of standardized muhicolor Doppler ultrasound in screeing for fetus congenital malformation in the second and third trimester pregnancy. Methods： Retrospective analysis was carried out to the 4,860 fetuses who were in the second and third trimester pregnancy during Jan 2001 to Jan 2007 examined by multicolor Doppler ultrasound. Results ： 62 cases of fetus congenital malformation were confirmed by induced abortion, autopsy or after childbirth. The coincidence rate of ultrasound diagnosis was 95.4% （62/65）. 3 cases was misdiagnosed which was accounted for 4.6% （3/65）. Conclusion： Multicolor doppler ultrasound can discover the most fetus abnormalities and carry out early diagnosis of lethal and nonlethal malformation, which can provide important primary signs to clinical therapy.