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目的探讨本溪市开展产前筛查、产前诊断以来,检出染色体异常胎儿和先天畸形胎儿的情况。方法回顾性分析2005年5月至2006年5月1182例和2006年5月至2007年6月1703例孕产妇产前筛查、产前咨询、羊水细胞遗传学检查及系统超声检查的人数并追踪其围产儿结局。结果产前筛查、产前咨询、系统超声检查的人数逐年上升,超声诊断胎儿畸形的确诊率明显提高,尤其是筛查先天性心脏病胎儿的技术明显提高,产前筛查高风险孕妇进行羊水细胞遗传学检查染色体异常胎儿的接受率无明显差别。结论产前筛查及系统超声检查容易被孕妇所接受,而羊膜腔穿刺进行胎儿细胞遗传学检查接受率偏低。因此更好的开展产前咨询,加大产前诊断的宣传工作至关重要。
Objective To investigate the detection of fetuses with chromosomal abnormalities and congenital anomalies since prenatal screening and prenatal diagnosis in Benxi City. Methods A retrospective analysis of 1182 cases from May 2005 to May 2006 and 1703 cases of prenatal screening, prenatal counseling, amniotic fluid cytogenetics and systematic ultrasound examination among 1703 pregnant women from May 2006 to June 2007 Track its perinatal outcome. Results The number of prenatal screening, prenatal counseling and systematic ultrasound examination increased year by year. The diagnosis rate of ultrasound diagnosis of fetal malformations was significantly increased. Especially the screening of fetuses with congenital heart disease was significantly improved. The prenatal screening of high-risk pregnant women Amniotic fluid cytogenetic examination of chromosomal abnormalities fetus acceptance rate no significant difference. Conclusions Prenatal screening and systematic ultrasonography are easily accepted by pregnant women, while amniocentesis has a low acceptance rate for fetal cytogenetics. Therefore, to better prenatal counseling, increase prenatal diagnosis advocacy work is essential.