探讨早孕期规范化超声检查筛查胎儿畸形的价值

Discussion the value of standardized ultrasound examination in screening fetal malformations during early pregnancy

目的:探究早孕期规范化超声检查筛查胎儿畸形的应用价值。方法:选取2011年5月-2018年5月行早孕期筛查的孕妇5340例,均行常规经腹探查,严格按照规范化序贯方式对胎儿整体解剖结构进行观察,分析超声筛查结果。结果:5340例孕妇中,检出胎儿畸形54例,检出率为1.01%;共检出NT增厚64例,NT值为3.0~4.9 mm 40例、5.0~6.0 mm 8例、>6.0 mm 16例;且NT增厚程度越大,染色体异常风险性越大。结论:胎儿畸形行早孕期规范化超声检查筛查,有利于及早发现较为严重的胎儿畸形情况,在避免增加检查次数的基础上,将畸形筛查时间提前,对家庭及社会价值显著。

Objective:To explore the application value of standardized ultrasound examination in screening fetal malformation during early pregnancy.Methods:From May 2011 to May 2018,5340 cases of pregnant women who underwent early pregnancy screening were selected for routine transabdominal exploration,the fetal whole anatomical structure was observed in strict accordance with the standardized sequential way,and the ultrasonic screening results were analyzed.Results:Among 5340 pregnant women,54 cases of fetal malformation were detected,the detection rate was 1.01%.A total of 64 cases of NT thickening were detected,with NT values of 3.0~4.9mm in 40 cases,5.0~6.0mm in 8 cases,and>6.0mm in 16 cases.And the greater the degree of NT thickening,the greater the risk of chromosome abnormality.Conclusion:Standardized ultrasound screening of fetal malformations during early pregnancy is beneficial to the early detection of serious fetal malformations.On the basis of avoiding increasing the number of examinations,the screening time of malformations can be advanced,which is of significant value to the family and society.