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目的通过病理检查,进一步探讨先天畸形对围产儿死亡的影响。方法2004-08中旬~2006-03,在吕梁地区收集了围产儿及胎儿尸检资料295例,在进行临床观察的基础上,由围产儿病理专家进行病理解剖,现场拍照,组织制片、镜检,对病理结果进行全面分析,本文重点对160例围产儿死亡、医学终止妊娠和死胎病理诊断的结果进行了分析。结果畸形检出率达84.4%,致死性畸形占畸形病例的63.0%。涉及畸次最多的为神经系统,其后依次为:运动、循环、呼吸、五官、消化及泌尿等系统的畸形。以复合畸形(同时检出2种以上畸形)为主,占74.1%。结论先天畸形是影响围产儿及胎儿死亡的重要因素,严重影响着出生人口素质。
Objective To further investigate the impact of congenital malformations on perinatal mortality through pathological examination. Methods From mid 2004-08 to 2006-03, 295 cases of perinatal and fetal autopsy data were collected in Luliang Prefecture. On the basis of clinical observation, pathological anatomy was performed by perinatal pathologists, field photographs, tissue films, microscopic examination , A comprehensive analysis of the pathological results, this article focuses on 160 cases of perinatal death, medical termination of pregnancy and stillbirth pathological diagnosis results were analyzed. Results The detection rate of deformity was 84.4%, and fatal deformity accounted for 63.0% of deformity cases. Involved in the most abnormal for the nervous system, followed by: movement, circulation, respiration, facial features, digestive and urinary system deformities. To compound deformity (also detected more than two kinds of deformities), accounting for 74.1%. Conclusion Congenital malformations are an important factor affecting the perinatal and fetal deaths and seriously affect the quality of the birth population.