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目的分析彩超在产前诊断胎儿消化系统畸形中的临床价值。方法对2005年1月-2012年12月来我院就诊的18-38周的孕妇进行产科常规检查,并对112例胎儿消化系统异常患者进行追踪观察,结合尸检或出生后手术对照比较。结果在112例胎儿消化系统异常患者中,产后证实为消化系统畸形105例,未见异常7例。漏诊5例。超声诊断阳性率为89.2%。结论彩超能够较客观的动态观察胎儿消化道生理性变化及异常,在诊断胎儿消化系统畸形中具有重要的应用价值,对优生优育及胎儿出生后及时治疗具临床指导意义。
Objective To analyze the clinical value of color Doppler ultrasound in prenatal diagnosis of fetal digestive system deformity. Methods A total of 112 pregnant women aged 18-38 weeks from January 2005 to December 2012 were enrolled in this study. The follow-up observation of 112 fetuses with abnormal fetal digestive system was carried out. The postoperative autopsy or postoperative comparisons were performed. Results In 112 cases of fetal abnormalities of the digestive system, postpartum confirmed 105 cases of abnormalities of the digestive system, and no abnormalities were found in 7 cases. Misdiagnosis in 5 cases. The positive rate of ultrasound diagnosis was 89.2%. Conclusions Color Doppler ultrasonography can objectively observe the physiological changes and abnormalities of fetus gastrointestinal tract and has an important value in the diagnosis of fetal digestive system deformity. It is of clinical significance for prenatal and postnatal treatment.