| 摘要: |
| ［摘要］ 目的 分析玉林市孕妇胎儿畸形的主要类型及预防措施。方法 对2009-01～2011-12在玉林市妇幼保健院进行常规超声检查发现的652例胎儿发育异常的孕妇进行回顾分析；所有异常者均作定期追踪随访，最后的结果均证实与超声诊断相符。结果 652例畸形儿的类型分布从高到低前10位分别为畸胎（胎儿腹水、肝脾肿大）29.9%（195/652），唇腭裂13.8%（90/652），心脏畸形11.5%（75/652），脑积水10.1%（66/652），内脏外翻8.0%（52/652），无脑儿6.9%（45/652），颈部水囊样淋巴瘤3.8%（25/652），全前脑2.3%（15/652），脑膨出1.8%（12/652），软骨发育不全1.5%（10/652）。畸形胎儿孕妇92.2%集中在20岁～和30岁～两个年龄组。结论 在所有畸形胎儿中以畸胎（胎儿腹水、肝脾肿大）为主，超声检查是发现畸形胎儿简便、有效的方法，可为减少畸形胎儿活产提供技术支持。 |
| 关键词: 超声检查 畸形胎儿 |
| DOI：10.3969/j.issn.1674-3806.2013.01.19 |
| 分类号:R 445.1 |
| 基金项目: |
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| Analysis on ultrasound examination of 652 fetuses with malformation |
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ZHOU Hua
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Department of Obstetrics,Women and Children Health Hospital of Yulin City, Guangxi 537000,China
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| Abstract: |
| ［Abstract］ Objective To study the main types and correspondin prevention measures of fetal malformation in pregnant women in Yulin city.Methods The clinical data of 652 pregnant women in whom fetus with malformation was proved by conventional ultrasound examination in the Women and Children Health Hospital of Yuling city from January 2009 to December 2011 was retrospectively analyzed. All cases were followed up regularly. The final results were identified with ultrasound diagnosis.Results Among 652 fetuses with malformation,the order of the top 10 malformation types from high to low was teratogeny (fetal ascites, hepatosplenomegaly), accounted for 29.9%(195/652)；cleft lip and palate accounted for 13.8%(90/652)；cardiac malformations accounted for11.5%(75/652);hydrocephalus accounted for 10.1%(66/652)；viscera eversions accounted for 8.0%（52/652）； anencephaly accounted for 6.9%（45/652）；cystic hygroma of the neck accounted for 3.8%（25/652）；holoprosencephaly accounted for 2.3%（15/652）；encephalocele accounted for 1.8%(12/652);achondroplasia accounted for 1.5% (10/652).The pregnant women with fetal malformation mainly distributed in the age groups 20～ years and 30～ years.Conclusion In all fetal malformation types,teratogeny(fetal ascites, hepatosplenomegaly) is predominent.Ultrasonography is a simple method to found fetal malformation, and can provide technical support for reducing the rate of live births of fetuses with malformation. |
| Key words: Ultrasound examination Fetus with malformation |
