胎儿系统超声检查与常规产科超声检查的对比分析

Analysis of Comparison of Fetal System Ultrasound Examination and Routine Ultrasound Examination in the Department of Gynecology

目的探讨胎儿系统超声检查与常规产科超声检查的对比。方法选取该院(2015年10月—2017年10月)收治的400例孕妇为该研究对象,将所有孕妇根据检查方法不同分为两组,观察组200例孕妇采用胎儿系统超声检查,对照组200例孕妇采用常规产科超声检查,统计两组产妇畸形儿检出情况以及产妇对检出方法的满意度。结果其中观察组200例孕妇分娩畸形胎儿共18例,其中2例四肢发育畸形,2例消化系统畸形,2例泌尿系统畸形,6例心血管畸形,3例唇腭裂,3例神经管畸形;对照组200例孕妇分娩畸形胎儿共17例,其中2例四肢发育畸形,2例消化系统畸形,1例泌尿系统畸形,5例心血管畸形,3例唇腭裂,4例神经管畸形。观察组产妇畸形儿检出率为94.44%,漏检率为5.56%,对照组产妇畸形儿检出率为58.82%,漏检率为41.18%,两组对比差异有统计学意义(χ2=35.424 2,P<0.05)。观察组产妇总满意度95.00%明显高于对照组80.00%,差异有统计学意义(χ~2=10.285 7,P<0.05)。结论胎儿系统超声检查中晚期妊娠患者胎儿畸形率高于常规产科超声检查,应早期使用胎儿系统超声检查,以便尽早采取措施治疗。

Objective To study the comparison of fetal system ultrasound examination and routine ultrasound examination in the department of gynecology. Methods 400 cases of delivery women admitted and treated in our hospital from October 2015 to October 2017 were selected and divided into two groups with 200 cases in each, the observation group and the control group respectively used the fetal system ultrasound examination and routine ultrasound examination,and the deformity children test and satisfactory degree of delivery women to the test method of the two groups were counted. Results Of 200 cases in the observation group, there were 18 cases with deformity, including 2 cases with extremities deformity, 2 cases with digestive system deformity, 2 cases with urinary system deformity, 6 cases with cardiovascular deformity, 3 cases with cheilopalatognathus, 3 cases with nerviduct deformity; of 200 cases in the control group, there were 17 cases with deformity, including 2 cases with extremities deformity, 2 cases with digestive system deformity, 1 case with urinary system deformity, 5 cases with cardiovascular deformity, 3 cases with cheilopalatognathus, and 4 cases with nerviduct deformity; and the differences in the test rate of deformity and misdiagnosis rate between the observation group and the control group were obvious,（94.44%, 5.56% vs 58.82%, 41.18%）,（χ~2=35.424 2,P〈0.05）, and the total satisfactory degree in the observation group was obviously higher than that in the control group,（95.00% vs 80.00%）, and the difference was statistically significant（χ~2=10.285 7,P〈0.05）. Conclusion The test rate of deformity in children of fetal system ultrasound examination is higher than that of routine ultrasound examination in the department of gynecology, and we should use the feta system ultrasound examination in the early stage, to take the measures as soon as possible for treatment.