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目的探讨超声检查在胎儿产前筛查中的应用价值。方法 2010年04月至2012年04月期间,我院实施的3000例产前筛查孕妇,对胎儿的头面、颈部、胸腹、脊柱、四肢结构,以及胎盘、羊水等情况,进行超声检查,对胎儿畸形的种类和比例,进行观察和分析。结果 3000例产前筛查孕妇中,经过超声检查,一共发现45例胎儿畸形,其畸形检出率为1.5%。其中,19例神经系统畸形(0.64%),9例唇腭裂(0.30%),7例心血管系统畸形(0.23%),4例泌尿系统畸形(0.13%),3例四肢畸形(0.10%),2例消化道畸形(0.07%),1例胎盘异常(0.03%)。结论超声检查作为产前筛查诊断的首选方法,具有操作简便、经济实惠、安全可靠等优点,具有较高的应用价值,值得临床推广。
Objective To investigate the value of ultrasonography in fetal prenatal screening. Methods From April 2010 to April 2012, 3000 prenatal screening pregnant women in our hospital were performed ultrasound examination of fetal head, neck, chest and abdomen, spine, limbs, placenta and amniotic fluid , The types and proportions of fetal malformations were observed and analyzed. Results Among the 3000 prenatal screening pregnant women, 45 cases of fetal malformations were found after ultrasound examination. The detection rate of malformations was 1.5%. Among them, 19 cases of nervous system malformation (0.64%), 9 cases of cleft lip and palate (0.30%), 7 cases of cardiovascular system malformations (0.23%), 4 cases of urinary system malformations (0.13% , 2 cases of gastrointestinal malformations (0.07%) and 1 case of abnormal placenta (0.03%). Conclusion Ultrasound as a prenatal screening diagnostic method of choice, with simple, affordable, safe and reliable, has a high value, worthy of clinical promotion.