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目的评价北京市产前超声筛查与诊断转会诊网络的工作效果。方法采用描述性统计学方法分析2012-2013年北京市产前超声筛查与诊断转会诊数据上报及诊断符合情况。结果超声筛查与诊断转会诊个案上报信息的完整率2013年为98.24%,高于2012的97.42%;超声筛查与诊断转会诊个案与报表上报比例2013年为53.58%,高于2012年的37.46%;近两年北京市产前超声筛查异常诊断符合率均保持在较高水平,除神经管畸形、膈疝及唇腭裂外,其他畸形的诊断符合率2013年均高于2012年。结论构建产前超声筛查与诊断转会诊网络是十分必要的,质量控制保证了该网络的健康运行。北京市将通过妇幼信息系统的开发搭建转会诊的网上平台,以此完善产前超声筛查与诊断转会诊网络的构建。
Objective To evaluate the effect of prenatal ultrasound screening and diagnosis transfer network in Beijing. Methods Descriptive statistics were used to analyze the data submitted during the prenatal ultrasound screening and diagnosis transfer between 2012 and 2013 in Beijing and the corresponding diagnosis. Results The complete information rate of ultrasound screening and diagnosis transfer cases was 98.24% in 2013 and 97.42% higher than that in 2012. The proportion of esophageal screening and diagnosis transfer cases and reports was 53.58% in 2013, higher than that in 2012 37.46% respectively. The coincidence rates of abnormal diagnosis of prenatal ultrasound screening in Beijing in the recent two years were all kept at a high level. The diagnostic coincidence rate of other deformities except neural tube defects, diaphragmatic hernia and cleft lip and palate was higher than that in 2012. Conclusion It is necessary to construct prenatal ultrasound screening and diagnose the transfer consultation network, and the quality control ensures the healthy operation of the network. Beijing will establish an online platform for transfer clinics through the development of information system for women and children, so as to perfect the network of prenatal ultrasound screening and diagnosis transfer.