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目的 探讨规范化早孕期超声筛查在胎儿脐膨出诊断中的价值。方法 常规进行孕早期超声结构筛查,所有超声筛查根据统一的标准进行,所有检查医生均获得早孕期 NT 资格认证,重点观察胎儿腹部入脐切面。结果 2008年1月至2010年12月间共进行早孕期超声结构筛查13 415例,检出脐膨出11例,漏诊2例,1例是因为操作者没有按照操作规范进行,1例是因为当时胎儿没有发生脐膨出。结论 早孕期胎儿规范超声筛查可以有效地检查出脐膨出,是一种有效的筛查方法。
Objective To evaluate the effect of early standardized ultrasound in screening for fetal omphalocele. Methods Fetal transabdominal US was performed in 13 415 pregnant women at 11~13+6 weeks of gestation, all the scanning procedures were according to the same standards. Results During the period of January 2008 to December 2010, 11 fetuses with omphalocele were detected, and 2 were missed. The cause of 1 missed diagnosis was due to nonstandard screening; the other was that the omphalocele occurred at late gestation. Conclusion Standardized ultrasound screening is efficient for detecting omphaleocele in early gestation, which can plays an important role in fetal ultrasound screening.
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