产前超声对诊断胎儿单纯性轻度侧脑室扩张价值分析

发布时间：2018-06-21 20:51

本文选题：产前超声诊断 + 胎儿　；参考：《深圳中西医结合杂志》2016年23期

【摘要】：目的:比较分析产前超声在诊断胎儿单纯性轻度侧脑室扩张中的价值。方法:将2014年1月至2016年1月入住中山市人民医院的120例进行产前超声诊断的孕妇,采用随机数字表法将其平均分成两组,其中对照组孕妇在孕期进行常规检查,观察组在对照组基础上,在孕早期、中期及晚期分别进行产前超声筛查,分析探讨产前超声诊断对胎儿单纯性轻度侧脑室扩张的检出率,比较诊断检出率与分娩后胎儿异常核型检出率的差异情况,与妊娠及引产结局观察筛查出畸形胎儿的临床疗效。结果:两组孕妇引产或正常分娩出胎儿为畸形分别为21例和17例,与产前筛查结果显示,经过不同检查后,观察组产妇产前筛查出胎儿单纯性轻度侧脑室扩张的临床准确率95.24%明显高于对照组70.59%,差异具有统计学意义(P0.05);在孕中期筛查出胎儿单纯性轻度侧脑室扩张的情况较孕早期和孕晚期都要多,差异具有统计学意义(P0.05)。结论:对于产妇进行产前超声诊断有重要意义,可准确判断胎儿单纯性轻度侧脑室扩张发生情况,对异常胎儿及早采取治疗及处理方案,切实地为异常核型胎儿家长提供意见,可行性高。
[Abstract]:Objective: to compare and analyze the value of prenatal ultrasound in the diagnosis of fetal simple mild lateral ventricular dilatation. Methods: 120 pregnant women admitted to Zhongshan people's Hospital from January 2014 to January 2016 were divided into two groups by random digital table method. On the basis of the control group, prenatal ultrasound screening was carried out in the early, middle and late stages of pregnancy, respectively, and the detection rate of prenatal ultrasound in the diagnosis of simple mild lateral ventricular dilatation was analyzed and discussed. To compare the difference between the diagnosis rate and the abnormal karyotype of the fetus after delivery, and to observe the clinical effect of the abnormal fetus screening with pregnancy and induced labor outcome. Results: there were 21 cases of induced labor or 17 cases of fetal malformation in normal delivery of pregnant women in the two groups. The results of prenatal screening showed that, after different examinations, The clinical accuracy rate of fetal mild lateral ventricular dilatation in the observation group was 95.24% significantly higher than that in the control group (70.59%), the difference was statistically significant (P 0.05), and the rate of fetal mild lateral ventricular dilatation in the second trimester of pregnancy was higher than that in the second trimester. There are more early and late pregnancies, The difference was statistically significant (P 0.05). Conclusion: it is of great significance for prenatal ultrasound diagnosis of parturient, which can accurately judge the occurrence of simple mild lateral ventricular dilatation in fetuses, take early treatment and treatment of abnormal fetuses, and provide advice to parents of abnormal karyotype foetus. The feasibility is high.
【作者单位】：中山市人民医院;
【分类号】：R445.1;R714.5

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