目前,国内很多医院都在进行TORCH(主要是巨细胞病毒、单纯疱疹病毒、风疹病毒、弓形虫)筛查。理论上讲,一个好的临床筛查方案应该可以在人群中筛选出某种疾病的高危个体,有可靠的方法可以对高危个体进行确定诊断,然后对患者或疾病携带者进行干预,从而达到疾病的预防和治疗目的。但是TORCH筛查并不符合理想的筛查标准,对于TORCH筛查抗体阳性的病例,临床医生经常会给出相互矛盾、前后不一的解释或建议。 Currently, many domestic hospitals are TORCH (mainly cytomegalovirus, herpes simplex virus, rubella virus, Toxoplasma gondii) screening. In theory, a good clinical screening program should be able to screen high-risk individuals in a population for a disease and there are reliable ways to make a definitive diagnosis of a high-risk individual and then intervene on the patient or disease carrier to achieve the disease The purpose of prevention and treatment. However, TORCH screening does not meet the desired screening criteria, and clinicians often give conflicting and inconsistent explanations or recommendations for TORCH-screening antibody-positive cases.