Abstract:Objective To assess the value of prenatal ultrasound system screening for congenital malformations.Methods Data of prenatal screening results for 2 056 women with singleton pregnancy in our hospital from January 2010 through December 2012 were analyzed. Fetal outcomes were ascertained through autopsy, physical examination and chromosome test. Sensitivity, specificity, positive predictive value and negative predictive value of prenatal ultrasound screening system for congenital malformations were calculated.Results Of the 2 056 fetuses, 86 fetuses were diagnosed as having a defect. Of the 86 fetuses, prenatal ultrasound correctly detected 75 cases, resulting in sensitivity of 87.2% and specificity of 99.8%, positive predictive value of 93.8%, negative predictive value of 99.4%, as well as the clinical diagnosis consistent rate of 99.2%. For major structural deformities, the sensitivity was 94.1%, specificity 99.9%, positive predictive value 98.0%, negative predictive value 99.9%, as well as the clinical diagnosis consistent rate 99.9%.Conclusion Prenatal ultrasound system screening for congenital malformations is valuable in detecting major fetal defects.
隋霜, 朱丽红, 张艳梅. 产前系统超声检查对先天畸形的筛查效果评价[J]. 中国生育健康杂志, 2014, 25(4): 319-321.
SUI Shuang, SONG Xiaoping, ZHANG Yanmei. Clinical value of prenatal ultrasound system screening for fetal structural defects. Chinese Journal of Reproductive Health, 2014, 25(4): 319-321.
1 Liao C,Li DZ.Detection of non-deletional alpha-thalassemia in prenatal screening program.Eur J Haematol,2010,85:273-274. 2乐杰.胎儿先天畸形.第7版.北京:人民卫生出版社,2007:132. 3何雪冬.三维超声成像在产前诊断中的临床应用价值.中国超声医学杂志,2007,23:783-786. 4田晓先,陈科,林莲恩,等.超声诊断胎儿畸形之最佳时间的临床研究.微创医学,2008,3:445-447. 5International Society of Ultrasound in 0bstetrics&Gynecology.Cardiac screening examination of the fetus:guidelines for performing the ‘basic’and ‘extended basic’cardiac scan. Ultrasound Obstet Gynecol,2006,27:107-113. 6李胜利,陈秀兰,欧阳淑媛,等.Ⅲ级产前超声检查对产前诊断胎儿畸形的意义.中国超声医学杂志,2009,25:312-315. 7李胜利,陈秀兰,欧阳淑媛,等.1999~2006年993例胎儿结构异常数据资料分析.中国医学科学院学报,2008,30:69-74. 8李胜利,文华轩.中孕期胎儿系统超声检查切面及临床意义.中华医学超声杂志:电子版,2010,7:366-381. 9任芸芸,李笑天,桂永浩,等.胎儿先天性心脏病产前超声筛查诊断模式的评价.中华妇产科杂志,2008,43:589-593. 10李琴,陈东华,张玉华.产前超声诊断先天性胎儿畸形126例分析.中国现代药物应用,2009,3:71-72. 11董晓秋,王璐璐,毕伟,等.产前超声检查的意义及局限性.中国计划生育学杂志,2011,19:760-762. 12陈蔚,胡春霞,金松.81例胎儿畸形临床分析.中国妇幼保健,2011,26:3750-3751.