产前超声诊断质量控制体系的建立及应用价值研究

发布时间：2018-06-06 13:55

本文选题：产前超声 + 质量控制体系　；参考：《现代医院》2017年02期

【摘要】：目的建立产前超声诊断质量控制体系,探讨其在产前超声检查中的应用价值。方法对2014年1月-2015年12月在广东省妇幼保健院产前超声检查的10 980名孕妇进行超声检查前、检查中、检查后系统性质量控制,追踪回访妊娠临床结局,统计误诊漏诊及医疗纠纷发生情况。结果应用系统质量控制法期间,产前超声检出胎儿结构畸形271例,漏诊14例,误诊10例,胎儿畸形的产前诊断与产后临床诊断的符合率为99.8%(10 956/10 980),医疗投诉1例。结论建立产前超声诊断质量控制体系,对产前胎儿超声检查进行系统的质量控制,有助于提高产前超声诊断符合率,减少漏诊,对改善出生人口质量及减少医患纠纷具有重要意义。
[Abstract]:Objective to establish a quality control system for prenatal ultrasound diagnosis and discuss its application value in prenatal ultrasound examination. Methods from January 2014 to December 2015, 10 980 pregnant women who were examined by prenatal ultrasound in Guangdong Maternal and Child Health Hospital were examined with systemic quality control before and after examination, and the clinical outcome of pregnancy was followed up. Statistics of misdiagnosis and medical disputes occurred. Results during the period of systematic quality control, 271 cases of fetal structural malformation were detected by prenatal ultrasound, 14 cases were missed diagnosis, 10 cases were misdiagnosed. The coincidence rate of prenatal diagnosis and postpartum clinical diagnosis of fetal malformation was 99.8%, 10 956 / 10 980%, and 1 case of medical complaint. Conclusion the establishment of prenatal ultrasound diagnosis quality control system and the systematic quality control of prenatal fetal ultrasound examination are helpful to improve the coincidence rate of prenatal ultrasound diagnosis and reduce missed diagnosis. It is of great significance to improve the quality of birth population and reduce the disputes between doctors and patients.
【作者单位】：广东省第二人民医院;广东省人民医院;广东省妇幼保健院;
【基金】：广东省现代医院管理研究所科研项目(编号:201404)
【分类号】：R445.1;R714.5

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