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目的探讨晚孕期超声检查对胎儿补漏筛查的临床意义。方法选择2009年6月—2012年12月在郑州大学第二附属医院进行过中孕期系统胎儿超声检查未见异常的孕妇3582例,均于晚孕期30周～36周再次进行胎儿系统筛查,并前后对比、留图存档。结果晚孕期共筛查出胎儿畸形21例,分别是:肝占位3例、肾占位1例、隐性脊柱裂3例、脑积水5例、、心脏占位3例、消化道梗阻6例。漏诊6例。结论在晚孕期,针对胎儿迟发畸形好发部位进行有意识的详细检查可以进一步提高胎儿畸形产前检出率。
Objective To investigate the clinical significance of fetal ultrasound screening during late pregnancy. Methods Select 3582 pregnant women who did not have abnormal fetal ultrasound examination during the second trimester of pregnancy in the Second Affiliated Hospital of Zhengzhou University from June 2009 to December 2012. All of them were screened again during the third trimester of pregnancy from the third trimester to the third trimester of pregnancy. And before and after comparison, stay graph archive. Results A total of 21 cases of fetal malformations were screened during the first trimester of pregnancy. They were: liver occupancy in 3 cases, renal occupancy in 1 case, recessive spina bifida in 3 cases, hydrocephalus in 5 cases, heart placeholder in 3 cases, digestive tract obstruction 6 cases. Six cases missed diagnosis. Conclusion In the first trimester of pregnancy, a conscious and detailed examination of premature fetuses with abnormal fetal deformity can further increase the prenatal detection rate of fetal malformations.