李婷

[摘要]目的 探讨中孕期胎儿系统超声检查切面的结果及其临床意义。方法 将该院2012年10月—2014年10月接待的产前检查中孕期孕妇1 600例作为研究对象，回顾性分析她们的临床资料，均于中孕期采取胎儿系统超声检查切面情况，包括9切面与32切面超声检查，观察记录不同数量超声切面筛查出畸形情况，并对比分析。结果 该研究1 600例中孕期孕妇中存在不同程度畸形有10例，包括唇裂1例、心脏畸形2例、唇腭裂2例、十二指肠闭锁1例、膈疝1例、多囊肾畸形1例、四肢畸形1例及肾缺如1例；采取32切面超声检查检出中孕期胎儿畸形敏感性、准确性及特异性皆高于9切面检查，二者在敏感性上差异有统计学意义（P<0.05）。结论 中孕期胎儿系统超声检查切面可取得比较良好的诊断结果，逐渐成为当前我国新生儿出生质量保障的一种产前筛查方式，临床建议采取32切面检查，可明显提高超声检查结果，值得借鉴。

[关键词]中孕期；胎儿系统超声检查；切面；临床意义

[中图分类号]R4 [文献标识码]A [文章编号]1674-0742（2015）04（b）-0184-03

In the Second Trimester Fetal Ultrasound Sections and Clinical Significance

LI Ting

Color Ultrasonic Room， Functional Divisions，Fushun Hospital of Traditional Chinese Medicine， Fushun， Liaoning Province， 113008 China

[Abstract] Objective To investigate the mid trimester fetal ultrasound sections of the results and clinical significance. Methods 1600 cases of pregnant women with prenatal examination in the hospital from October 2012 to October 2014 received as the research object， retrospective analysis of the clinical data of them were in pregnancy fetal ultrasound system take inspection section， including 9 sections and 32 sections of ultrasonic inspection， observation records of different number section ultrasonic screening out the abnormal situation， and comparative analysis. Results In this study， 1600 cases of pregnant women during pregnancy in different degree of deformity in 10 cases， including 1 cases of cleft lip， heart malformation in 2 cases， 2 cases of cleft lip and palate， duodenal atresia in 1 cases and diaphragmatic hernia in 1 cases， polycystic kidney malformation in 1 cases， limb deformity in 1 cases and 1 cases of renal agenesis； take 32 section ultrasonic inspection detection of fetal abnormalities check the sensitivity， specificity and accuracy were higher than those of the 9 section examination， both have significant difference in sensitivity （P<0.05）. Conclusion In pregnancy ultrasound fetal system aspect can have a good diagnosis for comparison， gradually become the current our country birth quality guarantee a prenatal screening， clinical suggests 32 section examination， can significantly improve the ultrasound examination results， is worth learning from.

[Key words] In pregnancy； Fetal system ultrasonography； Section； Clinical significance

新世纪以来，国内新生儿先天缺陷发生率较高，而且死亡率高达30.3%，发达国家死亡率不足10%[1-2]，为此我国需加强先天缺陷婴幼儿的筛查，尽早采取措施处理，才能降低其出生率及死亡率。以往筛查胎儿畸形多以常规超声检查为主，但其仅对无脑儿、单心室、脊柱裂等严重畸形有较好的检出率，而对于微小畸形或染色体异常等则无法检出[3]，故而难以满足临床需求。近几年，胎儿系统超声检查切面技术在临床中逐渐广泛应用开来，取得的效果比较良好。为了进一步探讨中孕期胎儿系统超声检查切面的结果及其临床意义，将该院2012年10月—2014年10月接待的产前检查中孕期孕妇1 600例作为研究对象进行研究，现报道如下。……