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目的研究规范化早孕期超声筛查在双胎异常妊娠中的临床价值。方法运用随机抽样的方法选取福建医科大学附属闽东医院产前诊断中心超声室2012年1月至2014年9月收治的131例双胎妊娠孕妇,在早孕期运用飞利浦IE33和GE Vivid5彩色多普勒超声诊断仪对所有孕妇进行规范化超声筛查,然后对早孕期超声筛查双胎异常妊娠发生情况及符合率等进行统计分析。结果 131例孕妇中,7例孕妇的8个胎儿超声异常,其中6例为单纯解剖结构异常,最后全部经引产、出生后或中晚孕期随访证实。早孕期超声筛查双胎异常发生率为5.34%(7/131);5例为早孕期超声指标异常,出生后或经中晚孕期随访证实2例。早孕期超声筛查符合率为71.43%(5/7),如果将单脐动脉除去,那么早孕期超声筛查符合率为83.3%(5/6)。结论规范化早孕期超声筛查在双胎异常妊娠中具有较高的临床价值。
Objective To study the clinical value of standardized early pregnancy ultrasound screening in twin abnormal pregnancy. Methods A total of 131 pregnant women with twins who were admitted to the Department of Ultrasound, Pre-and-post Diagnostic Center of Fujian Medical University from January 2012 to September 2014 were selected by random sampling method. In the first trimester, pregnant women with IE33 and GE Vivid5 Le sonography diagnostic ultrasound screening of all pregnant women, and then the first trimester ultrasound screening twins abnormal pregnancy and compliance rates were statistically analyzed. Results Among the 131 pregnant women, 8 fetuses in 7 pregnant women were abnormal. Among them, 6 cases were simple anatomical abnormalities. All of them were confirmed by abortion, birth or middle and late pregnancy. The incidence of abnormal fetuses in early pregnancy was 5.34% (7/131). Five cases were abnormal in early pregnancy. Two cases were confirmed after birth or followed up in middle and late pregnancy. The coincidence rate of ultrasound screening in early pregnancy was 71.43% (5/7). If the single umbilical artery was removed, the coincidence rate of ultrasound screening in early pregnancy was 83.3% (5/6). Conclusion Standardized early pregnancy ultrasound screening in abnormal twins has a high clinical value.