首页|NT超声检测结合无创DNA检测用于高龄孕妇产前筛查的价值分析

NT超声检测结合无创DNA检测用于高龄孕妇产前筛查的价值分析

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目的 探讨胎儿颈项透明层(NT)超声检测结合无创DNA检测用于高龄孕妇产前筛查的应用价值。方法 选取本院486例进行产检、分娩的高龄单胎孕妇的临床资料,根据孕妇选择产前筛查方法不同,将其分为NT组(n=127例)和联合组(n=359例)。NT组采用NT超声检测,联合组采用NT超声检测结合无创DNA检测,对比两组胎儿染色体疾病的检出率和漏诊率。结果 以羊水穿刺检测结果为金标准,NT组胎儿染色体疾病的检出率为66。67%,联合组胎儿染色体疾病的检出率为80。00%,联合组的检出率高于NT组;NT组漏诊率为33。33%,联合组漏诊率为20。00%,联合组的检测漏诊率低于NT组。。结论 NT超声检测结合无创DNA检测对高龄孕妇产前筛查有效,胎儿染色体疾病的检出率高,漏诊率低。
Value analysis of NT ultrasound combined with non-invasive DNA testing for prenatal screening of elderly pregnant women
Objective To explore the application value of fetal nuchal translucency(NT)ultrasound combined with non-invasive DNA testing for prenatal screening in elderly pregnant women.Methods Clinical data of 486 elderly single pregnancy women who underwent prenatal examination and delivery in our hospital were selected.According to the different prenatal screening methods chosen by pregnant women,they were divided into NT group(n=127 cases)and combination group(n=359 cases).The NT group used NT ultrasound detection,while the combined group used NT ultrasound detection combined with non-invasive DNA testing to compare the detection rate and missed diagnosis rate of fetal chromosomal diseases between the two groups.Results Based on the amniocentesis test results as the gold standard,the detection rate of fetal chromosomal diseases in the NT group was 66.67%,and the detection rate of fetal chromosomal diseases in the combination group was 80.00%.The detection rate in the combination group was higher than that in the NT group;The missed diagnosis rate in the NT group was 33.33%,while the missed diagnosis rate in the combination group was 20.00%.The missed diagnosis rate in the combination group was lower than that in the NT group.Conclusion NT ultrasound combined with non-invasive DNA testing is effective for prenatal screening of elderly pregnant women.The detection rate of fetal chromosomal diseases is high,and the missed diagnosis rate is low.

NT ultrasound testingNon invasive DNA testingPregnant woman in elder age

陆丰华、丁杨、王智慧

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苏州市相城人民医院妇产科,江苏 苏州 215013

NT超声检测 无创DNA检测 高龄孕妇

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(3)
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