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1、超声产前检查对高危孕妇胎儿畸形的诊断价值陈果罗志远王泽協邹正霖王荔(四川省泸州市人民医院四川泸州646000)【摘要】目的：分析超声产前检查对高危孕妇胎儿畸形的诊断价值。方法：将2011年3月・2014年5月期间，我院收治的1382例高危孕妇为研究对象，均进行超声产前检查，对妊娠结局以及诊断资料进行回顾性分析。结果：研究中1382例高危孕产妇胎儿分娩后共发现63例胎儿患有畸形，畸形率为4.6%,中枢神经系统畸形21例33.3%；其次为心脏畸形患儿16例25.4%；除此之外还包扌舌其他畸形患儿等。高危孕妇产前经经过
2、超声诊断确定共有畸形者62例，当胎儿娩击后发现有3例假阳性者以及4例假阴性者。妊娠结局和超声检查的符合率为95.2%o结论：高危孕妇在牛产前，对其进行超声产前检查能够及时准确的诊断胎儿畸形，同时超声检查具有操作简单无损伤以及重复性较强等诸多特点，值得在产科中推广使用。【关键词】超声产前；检查；高危孕妇；胎儿畸形；诊断价值【中图分类号1R445.1【文献标识码]B【文章编号J1003-5028(2015)5-0131-01Prenatalultrasoundexaminationofhigh-riskpregnan
3、twomentoassessthediagnosticvalueoffetalabnormalitiesChenGuoLuoZhi-yuanWangZe-liZouZheng-linWangLi(DepartmentofUltrasound,Luzhoupeople'shospital,Luzhou646000,China.)[Abstract]Objective:toanalyzeultrasonicantenataIexaminationofhigh-riskpregnantwomentoassessthed
4、iagnoSticvalueoffetalabnormalities.Methods:inMarch,2011・May2014,ourhospital1382casesofhigh-riskpregnantwomenastheresearchobject,boththeultrasonicantenatalexamination,thepregnancyoutcomeanddiagnosticdatawereretrospectivelyanalyzed.Results:inthestudyof1382cases
5、ofhighriskofmaternalfetalchildbirthwerefoundafter63caseswithdeformityfetus,themalformationratewas4.6%,childrenarethemostcommoncentralnervoussystemabnormalitieswith21casesof33.3%;Followedbycardiacmalformationwith16casesof25.4%;Inadditionalsoineludestheotherabn
6、ormalitiesinchildrenwithurinarysystem,etc.High-riskbetweenprenatalultrasonicdiagnosisconfirmationbyatotalof62casesofdeformity,whenafterarrivalfetalchildbirth,3and4periodperiodpositienegatie.Pregnancyoutcomesandtheaccuracyofultrasoundwas95.2%.Conclusion:genoty
7、pingofhighriskpregnantwomenbeforeproduction,ontheultrasonicantenatalexaminationinatimelyandaccuratediagnosisoffetalabnormalities,atthesametimeultrasoundhassimpleoperation,nodamageandrepeatabilitymanycharacteristics,suchasstrongworthusedwidelyinobstetrics.【Key
8、words]Prenatalultrasound,Examination,High-riskpregnantwomenandfetalabnormalities,DiagnoSticvalue胎儿畸形具有一定的复杂性、多样性以及不可预见性，因此胎儿畸形的产前检查早已成为了产科中的诊断难点，本次研究为探讨超声检查在产科中的应用价值，将分析超声产前检查对高危孕妇胎儿畸形的诊断
