产前系统胎儿超声检查在胎儿畸形筛查诊断中的应用价值分析

Application Value of Prenatal System Fetal Ultrasound in Screening and Diagnosis of Fetal Malformation

目的探究在胎儿畸形筛查诊断中应用产前系统胎儿超声检查的效果。方法选取2021年10月—2022年10月于菏泽市妇幼保健院接受产前系统超声检查的800名孕妇为研究对象,对诊断结果进行分析。结果800名孕妇的临床诊断结果显示,共51例诊断为胎儿畸形,发生率为6.38%。产前系统胎儿超声检查阳性50例,检出率为6.25%。产前系统胎儿超声检查的敏感度为96.08%,特异度为99.87%,准确性为99.63%,Kappa值为0.968。产前系统胎儿超声检查在心血管系统畸形、泌尿系统畸形、多系统畸形、中枢神经系统畸形、胸腔畸形检出例数与金标准相同,产前系统胎儿超声检查在脊柱及肢体畸形中漏诊1例。结论胎儿畸形筛查诊断中采取产前系统胎儿超声检查具有较高的应用价值,敏感度、特异度和准确性均较高。

Objective To explore the effect of prenatal system fetal ultrasound in the screening and diagnosis of fetal malformation.Methods 800 pregnant women who received prenatal systematic ultrasound examination in Heze Maternal and Child Health Care Hospital from October 2021 to October 2022 were selected as the research objects,and the diagnostic results were analyzed.Results The clinical diagnosis results of 800 pregnant women showed that a total of 51 cases were diagnosed with fetal malformations,with an incidence rate of 6.38%.A total of 50 cases were detected by prenatal system fetal ultrasound examination,with a detection rate of 6.25%.The sensitivity,specificity,accuracy,and Kappa value of prenatal system fetal ultrasound examination were 96.08%,99.87%,99.63%,and 0.968,respectively.The number of cases of cardiovascular system malformation,Urinary system malformation,multisystem malformation,central nervous system malformation and thoracic cavity malformation detected by prenatal system fetal ultrasound is the same as the gold standard.One case of spinal and limb malformation was missed by prenatal system fetal ultrasound,Conclusion The use of prenatal systematic fetal ultrasound in the screening and diagnosis of fetal malformations has high application value,with high sensitivity,specificity,and accuracy.