摘要
目的探讨产前超声在胎儿先天性骨骼系统畸形中的诊断价值。方法选取2015年3月~2018年3月间于我院行常规产前超声检查的364例孕妇作为主要研究对象,对经产前超声检查确诊为骨骼系统畸形的胎儿行引产后采用放射X线诊断及解剖尸检结果进行比较,分析产前超声检查在先天性骨骼系统畸形胎儿中的诊断价值。结果参与研究的364例孕妇中,经引产后采用放射X线诊断及解剖尸检证实为骨骼系统畸形的胎儿有26例,占7.14%,其中产前超声检查检出21例,5例漏诊,漏诊率为19.23%;产前超声检查检出的21例骨骼系统畸形胎儿中,1例肢体姿势异常、1例小腿缺如、2例椎体异常、2例四肢短小、2例手部缺如、2例桡骨缺如、5例多(并)指、趾、6例足内翻,经产后采用放射X线诊断及解剖尸检结果表明,漏诊1例肢体姿势异常、1例椎体异常、1例手部缺如、2例多(并)指、趾,产前超声检查的总检出率为80.77%。结论产前超声检查在先天性骨骼系统畸形胎儿中的诊断准确度较高具有较高的应用价值,需特别注意在产前各时期均行超声检查,可提高畸形胎儿的检出率,防止误诊、漏诊情况发生,利于优生优育及提高人口素质。
Objective:To explore the diagnostic value of prenatal ultrasound in fetal congenital skeletal malformation.Methods:364 pregnant women who underwent routine prenatal ultrasound examination in our hospital from March 2015 to March 2018 were selected as the main research objects.The results of X-ray diagnosis and autopsy of fetuses with skeletal malformations confirmed by prenatal ultrasound examination after induced labor were compared,and the diagnostic value of prenatal ultrasound examination in fetuses with congenital skeletal malformations was analyzed.Results:Of the 364 pregnant women who participated in the study,26 cases(7.14%)were diagnosed as skeletal malformation by X-ray diagnosis and autopsy after induction of labor.Among them,21 cases were detected by prenatal ultrasonography,5 cases were missed,and the missed diagnosis rate was 19.23%.Among 21 fetuses with skeletal malformation detected by prenatal ultrasonography,1 case had abnormal limb posture,1 case had absence of calf,2 cases had vertebral anomalies and 2 cases had short limbs.The results of postpartum X-ray diagnosis and autopsy showed that 1 case of postural abnormality of limbs,1 case of vertebral anomalies,1 case of hand absence,2 cases of radius absence,5 cases of multiple(combined)fingers,toes and 6 cases of foot varus was missed.The total detection rate of prenatal ultrasonography was 80.77%.Conclusion:Prenatal ultrasonography has a high diagnostic accuracy in congenital skeletal malformation fetus.It is necessary to pay special attention to prenatal ultrasonography at all stages.It can improve the detection rate of malformed fetus,prevent misdiagnosis and missed diagnosis,and is conducive to eugenic and healthy birth and improve the quality of the population.
作者
盛长青
马玉能
SHENG Chang-qing;MA Yu-neng(Medical Ultrasound Center,Northwest Women’s and Children’s Hospital,Xi’an,Shanxi 710054;Department of Obstetrics and Gynecology,Zhenba Maternal and Child Health Hospitals Hanzhong,Shanxi 723600)
出处
《中国优生与遗传杂志》
2019年第12期1485-1487,共3页
Chinese Journal of Birth Health & Heredity
关键词
产前超声检查
先天性
骨骼系统畸形
诊断价值
Prenatal ultrasonography
Congenital
Skeletal malformation
Diagnostic value
