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目的探讨农村孕妇产前超声筛查对出生缺陷二级预防的重要性。方法回顾性分析漳浦县妇幼保健院2011年7月至2013年10月对6 903例农村孕妇免费产前超声筛查检出情况及分娩结果。结果产前筛查胎儿结构异常89例,异常率1.3%,其中微小畸形19例(21.3%),死胎4例(4.5%),重大结构异常66例(74.2%)。胎儿重大结构异常孕妇均转诊到漳州市产前诊断中心复查,诊断符合率97.1%,前3位为单纯心血管系统异常、多发畸形和泌尿生殖系统异常。据孕妇及家属意愿,终止妊娠60例(重大畸形56例,死胎4例),占总筛查人数的0.9%。结论免费为农村孕妇产前超声筛查,对降低新生儿出生缺陷率、提高出生人口素质有积极作用,群众易接受,值得临床推广。
Objective To investigate the importance of prenatal ultrasound screening in rural pregnant women for secondary prevention of birth defects. Methods A retrospective analysis of maternal and child health centers in Zhangpu County from July 2011 to October 2013 on 6 903 rural pregnant women free prenatal ultrasound screening and delivery results. Results There were 89 cases of prenatal screening abnormal fetal structure with an abnormal rate of 1.3%. Among them, 19 cases were small deformities (21.3%), 4 cases were stillbirths (4.5%) and 66 cases were major structural abnormalities (74.2%). Significant fetal abnormalities in pregnant women were referred to the prenatal diagnosis center in Zhangzhou for review, the diagnostic coincidence rate of 97.1%, the first three were simple cardiovascular system abnormalities, multiple deformities and genitourinary system abnormalities. According to the wishes of pregnant women and their families, termination of pregnancy in 60 cases (56 cases of major deformity, stillbirth in 4 cases), accounting for 0.9% of the total number of screening. Conclusion Free prenatal ultrasound screening for pregnant women in rural areas plays a positive role in reducing the birth defect rate of newborns and improving the quality of birth population. It is acceptable to the masses and worthy of clinical promotion.