迟发性胎儿畸形的超声诊断效果研究

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• 论文作者：蔡贵榕
• 年：2016
• 作者机构：成都金牛区妇幼保健院医学影像科;
• 论文关键词：超声诊断 ; 迟发性胎儿 ; 胎儿畸形 ; 诊断效果 ; 先天性缺陷 ; 综合质量 ; 临床确诊率
• 英文论文关键词：ultrasound diagnosis ; delayed fetal ; fetal malformation ; the diagnosis ; birth defects ; comprehensive quality ; clinical diagnosis rate
• 会议召开时间：2016-11-25
• 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
• 语种：中文
• 分类号：R445.1;R714.53
• 学会代码：HNZY
• 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
• 会议地点：中国广东珠海
• 主办单位：国际数字医学会、Digital Chinese Medicine
• 学会名称：湖南中医药大学期刊杂志社
• 页数：2
• 文件大小：1960k
• 原文格式：D
• 会议级别：全国

摘要

目的:胎儿畸形是临床上常见的疾病,其影响因素较多,包括:遗传因素、机体内外环境因素、药物因素等,导致胎儿形态、功能、生理功能发生明显的变化或遗传,导致胎儿发生畸形,对胎儿全身不同脏器的功能产生异常。患儿发病后如果不采取积极有效的方法诊断、处理,将会诱发其他疾病,严重者将威胁患儿生命,影响其健康成长。同时,对于迟发性胎儿畸形出生后还会增加家庭负担,不利于社会的和谐、稳定。本文将以迟发性胎儿畸形为起点,观察超声诊断在迟发性胎儿畸形中的诊断效果,为临床提供依据和参考。方法:选取2014年5月-2016年7月医院引产或娩出后确诊的胎儿畸形孕妇85例,孕妇入院后均行彩色多普勒超声,将检查结果与最终确诊的诊断结果进行比较,分析超声在迟发性胎儿畸形中的诊断效果,将获得的数据采用SPSS18.0软件处理。结果:(1)迟发性胎儿畸形发生率较高且类型较多,排在前三位的分别为:心血管系统、神经系统及生殖泌尿系统,分别占27.1%、23.5%及16.4%。由此看出:我国迟发性胎儿畸形类型较多,应加强产前检查,对于高危孕妇应加强管理。85例孕妇中经过超声诊断最终确诊82例,诊断符合率为96.5%。超声诊断严重畸形率,显著低于引产或分娩确诊(P<0.05);超声诊断轻微畸形率,显著高于引产或分娩确诊(P<0.05)。由此看出:超声检查在迟发性胎儿畸形中能发挥重要的作用,诊断符合率相对较高,可以为临床诊断、治疗提供依据。结论:迟发性胎儿畸形采用彩色多普勒超声诊断效果理想,能准确的诊断胎儿畸形,降低先天性缺陷发生率,为后续处理提供依据和参考。但是,临床上对于单一采用多普勒超声诊断效果不理想者,则应该联合其他方法诊断,发挥不同诊断方法优势,达到优势互补,提高临床确诊率,提高我国人口综合质量。
Objective: fetal malformation is a common clinical disease, the impact of many factors, including: genetic factors, the body's internal and external environmental factors, drug factors, leading to fetal form, function, physiological function or genetic change dramatically, resulting in fetal malformations, fetal different body organs function generates an exception. Afterthe onset of the children if you do not take positive and effective method for the diagnosis, treatment, will induce other diseases, serious threat to the lives of children, affect their healthy growth. Meanwhile, delayed fetal malformations after birth will increase the family burden, is not conducive to social harmony and stability. This will be delayed fetal malformations as a starting point, toobserve the effect of ultrasound diagnosis of delayed diagnosis of fetal malformation, and provide the basis for clinical reference. Methods: May 2014- July 2016 after delivery or abortion hospitaldiagnosed 85 cases of fetal malformations in pregnant women, pregnant women admitted to hospital underwent color Doppler ultrasound, the findings confirmed the diagnosis and the final resultswere compared, analyzed ultrasound in the diagnosis of delayed fetal malformation, the data obtained using SPSS18.0 software. Results:(1) delayed fetal malformations and a higher incidence ofmany types, the top three were: cardiovascular system, nervous system and genitourinary system, 27.1%, respectively, 23.5% and 16.4%. This shows: My late fetal malformation type more, shouldstrengthen prenatal care for high-risk pregnant women should strengthen management. 85 cases of pregnant women diagnosed through ultrasound diagnosis of 82 cases the final diagnosis was 96.5%. Ultrasound diagnosis of serious malformation rate was significantly lower than abortion or childbirth diagnosis(P <0.05); ultrasound diagnostic slight deformity rate was significantly higher thanthat induced abortion or childbirth diagnosis(P <0.05). This shows: Ultrasonography in delayed fetal malformations can play an important role in the diagnosis rate is relatively high, for clinicaldiagnosis and treatment provide the basis. Conclusion: Delayed fetal malformations using color Doppler ultrasound diagnosis over effect, can accurately diagnose fetal malformations and reducethe incidence of congenital defects, provide a reference for subsequent processing. However, the clinical use for a single Doppler ultrasound diagnosis is not ideal person, the diagnosis should becombined with other methods, to play the advantages of different diagnostic methods, to complement each other and improve the clinical diagnosis rate and improve the overall quality of ourpopulation.

引文

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