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目的探讨产前超声检查在诊断胎儿肢体畸形中的临应用床价值。方法对2012年1月~2013年12月在我院产科做产前检查的孕妇15 673例,对其影像资料及临床资料进行回顾性分析。结果本组15 673例孕妇中,超声诊断肢体畸形59例,诊断胎儿肢体畸形准确率为92.2%,漏诊的5例胎儿肢体畸形,漏诊率为7.8%。结论在胎儿肢体畸形的产前诊断中,产前超声检查能较准确诊断胎儿肢体畸形,有效地避免畸形胎儿的出生,建议采用规范化超声检查方法减少漏诊及误诊的发生。
Objective To investigate the clinical value of prenatal ultrasonography in the diagnosis of fetal limb deformity. Methods From January 2012 to December 2013, 15 673 pregnant women, who were on prenatal examination in obstetrics department of our hospital, were retrospectively analyzed on their imaging data and clinical data. Results Among 15 673 pregnant women, 59 cases of limb deformity were diagnosed by ultrasound. The correct rate of fetal limb deformity was 92.2%, and 5 cases of missing limb deformity were missed. The rate of missed diagnosis was 7.8%. Conclusions In prenatal diagnosis of fetal limb deformity, prenatal ultrasound can diagnose fetal limb deformity more accurately and avoid the birth of deformity fetus. It is recommended to use standardized ultrasound to reduce the missed diagnosis and misdiagnosis.