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目的提高临床对胎儿先天性畸形的检出率及准确率。方法回顾绍兴市妇幼保健院病理科2006年至2013年370例围产儿死亡资料,分析围产儿先天性畸形的发病率及发病类型。结果 8年来围产儿尸检共370例,其中先天性畸形围产儿177例,占47.84%,成为围产儿死亡的首要原因,其中排在前三位分别为中枢神经系统(31.64%)、心血管系统(24.29%)、颌面五官系统(15.83%),三者占71.76%,是胎儿先天性畸形的常见类型。结论尸检有助于明确先天性畸形的发生类型,了解围产儿畸形发生的规律,进一步证实、澄清及矫正诊断,为临床积累宝贵的经验。
Objective To improve clinical detection rate and accuracy of fetal congenital malformations. Methods The data of perinatal death in 370 pediatric patients in Shaoxing MCH hospital from 2006 to 2013 were analyzed retrospectively. The incidence and incidence of congenital malformations in perinatal children were analyzed. Results 370 cases of perinatal autopsy occurred in 8 years, of which 177 cases were congenital malformation (47.84%), which was the leading cause of perinatal death. The top three were perinatal central nervous system (31.64%), cardiovascular system (24.29%), facial maxillofacial system (15.83%), the three accounted for 71.76%, is a common type of fetal congenital malformations. Conclusion The autopsy can help to clarify the type of congenital malformations, to understand the law of perinatal malformations, to further confirm, clarify and correct the diagnosis, clinical valuable experience accumulated.