联合超声检查在产前筛查胎儿畸形中的临床应用

Clinical application of combined ultrasonography in prenatal screening of fetal malformation

目的探讨联合二维和四维超声检查在产前筛查胎儿畸形中的临床应用价值。方法纳入我院行产前检查的不同孕周的孕妇2058例,采用二维超声对孕妇进行常规检查,对检测疑似有异常情况的孕妇联合四维超声作进一步检查,比较单纯二维超声检查和联合超声检查的畸形胎儿的确诊率。结果本研究中2058例孕妇共分娩胎儿2078例,其中畸形胎儿104例,胎儿畸形部位共116处,单纯二维超声检查和联合超声检查孕早期、中期和晚期的胎儿确诊率和胎儿体表畸形确诊率上均具有统计学差异。结论联合二维和四维超声检查在产前筛查胎儿畸形中的诊断准确率显著高于单独采用二维超声诊断的准确率,值得推广使用。

Objective：To investigate the application value of combined use of 2 d and 4 d ultrasound in the prenatal screening of fetal malformation. Methods：2058 cases of pregnant women with different gestational age for antenatal examination in our hospital were included,regular inspections were conducted by using two-dimensional ultrasound,and we performed fourdimensional ultrasound for further detecting the suspected abnormalities,and we compared the diagnosis rate of two-dimensional ultrasound and joint ultrasound. Results：Among the 2058 cases,2078 cases with fetal childbirth were found,among which 104 fetus were malformation with 116 fetal abnormalities parts,the diagnosis rates of two-dimensional ultrasound and ultrasound joint in the early,mid and late pregnancy fetal and the surface malformation fetus were statistically different. Conclusion：The prenatal screening accuracy of combined use of 2 d and 4 d ultrasound in the diagnosis of fetal malformation is significantly higher than using two-dimensional ultrasound alone,this joint methods should be promoted in clinic.