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1、新疆医科大学硕士学位论文胎儿泌尿系统畸形的产前超声诊断研究生:付丽君导师:向红教授摘要目的:探讨产前超声在不同类型的胎儿泌尿系统畸形诊断中的声像图特征及临床价值,提高产前超声诊断符合率,为临床诊治提供可靠的依据。方法:回顾性分析在我院行产前超声检查并住院分娩的12145例孕15~42周的孕妇,长期随访发现的127例泌尿系统畸形的胎儿,对其产前超声诊断及产后进行随访的结果进行统计分析。结果:在该组12145例孕妇中,确诊胎儿泌尿系统畸形127例,产前超声诊断130例,漏诊2例,误诊5例。胎儿泌尿系统畸形发生率为1.05
2、%(127/12145),其产前超声诊断与产后临床诊断的符合率为99.94%(12138/12145),产前超声诊断胎儿泌尿系统畸形的灵敏度为98.42%(125/127),特异度为99.95%(12013/12018),阳性预测值为96.15%(125/130),阴性预测值为99.98%(12013/12015),阳性似然比为1968.4,阴性似然比为0.016。结论:产前超声诊断胎儿泌尿系统畸形准确率高。为临床诊断、评估预后及采取措施提供了重要依据,对于降低胎儿畸形出生率,提高人口素质具有重要意义。关键词:胎儿;
3、泌尿系统;畸形;产前超声检查1万方数据新疆医科大学硕士学位论文PrenatalultrasonographicdiagnosisofurinarysystemabnormalityinfetusPostgraduate:FuLijunSupervisor:Prof.XiangHongAbstractObjective:TostudyPrenatalultrasoundinthediagnosisofdifferenttypesofurinarysystemabnormalityinfetussonographicfe
4、aturesandclinicalvalueof,increasetherateofprenatalultrasonicdiagnosis,provideareliablebasisforclinicaldiagnosisandtreatment.Methods:Retrospectiveanalysisinprenatalultrasoundinourhospitalandhospitaldeliveryincases12,145weekspregnantwomen,long-termfollow-upfound1
5、27casesofurinarysystemabnormalityinfetus,prenataldiagnosisandpostpartumfollow-upresultsofstatisticalanalysis.Results:12,145incasesofpregnantwomeninthegroup,diagnosisofurinarysystemabnormalityinfetus127cases,prenataldiagnosisof130cases,misdiagnosisof2cases,misse
6、ddiagnosisof5cases.Incidenceofurinarysystemabnormalityinfetus1.05%,thecoincidencerateofprenatalultrasonicdiagnosisandclinicaldiagnosisofpostpartum99.94%,thesensitivityofprenatalUltrasonographicdiagnosisoffetalmalformationofurinarysystem98.42%,specificdegrees99.
7、95%,positivepredictivevalue96.15%,andnegativepredictivevalueof99.98%,positivelikelihoodratioof1968.4,negativelikelihoodratioof0.016.Conclusion:Theprenatalultrasonicdiagnosisoffetalmalformationofurinarysystemwithhighaccuracy.Fortheclinicaldiagnosis,prognosisandh
8、adtakenmeasurestoprovideanimportantbasisforassessment,forreducingbirthdefectsbirthrate,improvethequalityofpopulationisofgreatsignificance.Keywords:Fetus;Urogenitalsystem;Abn