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目的:探讨中孕早期进行普通超声检查对于胎儿异常的筛查价值。方法:收集2012年1月至2013年12月期间,我院中孕早期(妊娠14-18周)接受普通超声检查的孕妇2241例,统计胎儿异常检出率及异常情况。结果:本组2241例孕妇中,51例(2.3%)孕妇发现胎儿结构异常,其中,脉络丛囊肿24例(47.1%)、胎儿水肿8例(15.7%)、多发性畸形5例(9.8%)、神经管畸形3例(5.9%)、先天性肺囊性腺瘤样病变2例(3.9%)、肾集合系统扩张2例(3.9%)、多囊泡肾2例(3.9%)、腹腔囊肿2例(3.9%)、马蹄内翻足2例(3.9%)以及单脐动脉1例(2.0)。结论:中孕早期接受普通超声检查能够筛查出部分胎儿异常情况,对于产前诊断以及早期治疗具有重要意义。
OBJECTIVE: To investigate the screening value of fetal ultrasound in the first trimester pregnancy. Methods: From January 2012 to December 2013, 2241 pregnant women undergoing general ultrasound examination during the first trimester of pregnancy (14-18 weeks gestation) in our hospital were collected. The incidence and abnormality of fetal abnormalities were collected. Results: Among 2241 pregnant women, 21 (2.3%) pregnant women were found to have fetal structure abnormalities, including 24 cases (47.1%) of choroid plexus cysts, 8 cases of fetal edema (15.7%), 5 cases of multiple deformities ), 3 cases of neural tube defects (5.9%), 2 cases of congenital cystic adenomatoid lesions (3.9%), 2 cases of renal aggregated system expansion (3.9%), 2 cases of polycystic kidney disease (3.9% Two cysts (3.9%), two cases of clubfoot (3.9%) and one case of single umbilical artery (2.0). Conclusion: It is important to prenatal diagnosis and early treatment that some common fetal abnormalities can be detected by ordinary ultrasound in early pregnancy.