复发性流产史孕妇早孕末期超声筛查的结果分析

Ultrasound screening results analysis of last stage early pregnancy of patients with recurrent spontaneous abortion history

目的 分析早孕末期超声筛查对有复发性流产史孕妇筛查的价值.方法 选取我院2009年12月~2012年12月210例11～13＋6孕周产前超声检查产妇,按是否存在复发性流产病史分为观察组（存在复发性流产病史）90例及对照组（无流产病史）120例,对比两组患者间临床资料差异性.结果 观察组胎儿结构异常发生率较对照组高9.16%,颈部异常为两组间胎儿结构异常最常见发生事件,观察组为8.89%,对照组为1.67%,观察组较对照组高7.22%.以上数据行统计分析,提示P均＜0.05;在观察组中3次流产者最为常见（65.56%）,且胎儿结构异常亦为最高发事件（66.67%）.结论 有复发性流产史（特别是流产3次及以上）的孕妇更有必要做早孕末期超声筛查,并着重检查颈部异常.

Objective To analyze the value of uhrasound screening for the last-stage early pregnancy of patients with recurrent miscarriage history. Methods The 210 puerperae with 11-13＋6 weeks of gestation who received ultrasound examination in our hospital from December 2009 to December 2012 were selected and divided into the observation group （with recurrent miscarriage history） with 90 puerpeare and the control group （without miscarriage history） with 120 puerpeare according to whether there was a history of recurrent miscarriage. The clinical data differences between the two groups of patients were compared. Results The structural abnormality incidence of the observation group was 9.16% higher than that of the control group. Cervical abnormality was the most common structural abnormality incident in the two groups and was 8.89% in the observation group and 1.67% in the control group respectively, with the ob- servation group 7.22% higher than the control group. Statistical analysis showed P 〈 0.05 for all the data above. In the observation group, puerperae with 3 miscarriages were the most common （65.56%） and fetal structural abnormality in- cident was the most common （66.67%）. Conclusion Puerperae with recurrent miscarriage history （especially 3 or more miscarriages） are more in need of last-stage early pregnancy ultrasound screening and the cervical abnormality should be emphasized.