其他妈妈也在搜：剩余 18 个问题做成专题页（共用模板 topic/_shared/article.*，版式参照补剂专题）；v26110123

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>

topic/shaicha/index.html

@@ -0,0 +1,267 @@
+<!DOCTYPE html>
+<html lang="zh-CN">
+<head>
+<meta charset="utf-8">
+<meta name="viewport" content="width=device-width,initial-scale=1,maximum-scale=1,user-scalable=no,viewport-fit=cover">
+<meta name="format-detection" content="telephone=no">
+<title>唐筛、无创、羊穿，该怎么选？</title>
+<!-- 孕期专题 · 孕期产检 · 产前筛查（孕期首页「其他妈妈也在搜」→ 查看全部）。2026-11-01 用户：剩下的问题都做成专题页，UI 和文字参考 topic/buji。
+     版式全在 ../_shared/article.css + article.js，本页只放内容数据 window.TOPIC 和 img/hero.webp。 -->
+<link rel="stylesheet" href="../_shared/article.css?v=26110123">
+</head>
+<body>
+<script>window.TOPIC = {
+ "slug": "shaicha",
+ "q": "唐筛、无创、羊穿，该怎么选？",
+ "eyebrow": "孕期产检 · 产前筛查",
+ "title": [
+  "唐筛、无创、羊穿",
+  "\n",
+  "该怎么选",
+  "？"
+ ],
+ "sub": "一张卡看懂：查什么、准不准、几周做",
+ "answer": "一般先做<em>唐筛或无创<\/em>筛查；高风险或有指征，听医生做<em>羊穿<\/em>确诊。",
+ "three": [
+  {
+   "b": "筛查≠确诊",
+   "s": "唐筛、无创只看风险高低，羊穿才是诊断"
+  },
+  {
+   "b": "看准时间窗",
+   "s": "各有固定孕周，错过就只能换项目"
+  },
+  {
+   "b": "高风险别慌",
+   "s": "多数高风险最后确诊是正常的"
+  }
+ ],
+ "sections": [
+  {
+   "type": "cards",
+   "title": "三种检查一眼看懂",
+   "en": "AT A GLANCE",
+   "key": "越准的越贵，羊穿是唯一的确诊手段。",
+   "tint": true,
+   "items": [
+    {
+     "name": "唐筛",
+     "verdict": "筛查",
+     "must": false,
+     "label": "抽血 · 孕周",
+     "amt": "15～20",
+     "unit": "周",
+     "when": "便宜无创伤，准确度最低"
+    },
+    {
+     "name": "无创 DNA",
+     "verdict": "筛查",
+     "must": true,
+     "label": "抽血 · 孕周",
+     "amt": "12～22",
+     "unit": "周",
+     "when": "21 三体检出率高，费用更高"
+    },
+    {
+     "name": "羊水穿刺",
+     "verdict": "确诊",
+     "must": true,
+     "label": "穿刺 · 孕周",
+     "amt": "16～22",
+     "unit": "周",
+     "when": "结果最准，有很小的流产风险"
+    },
+    {
+     "name": "NT 检查",
+     "verdict": "必做 B 超",
+     "must": false,
+     "label": "B 超 · 孕周",
+     "amt": "11～13",
+     "unit": "周",
+     "when": "看颈后透明层，常和早唐一起"
+    }
+   ],
+   "why": {
+    "q": "无创这么准，为什么还不算确诊？",
+    "a": "无创查的是妈妈血里的胎儿游离 DNA，大部分来自胎盘，和宝宝本身可能不一致；而且主要只针对 21、18、13 三体。所以无创高风险也要做羊穿确认。"
+   }
+  },
+  {
+   "type": "vs",
+   "title": "唐筛和无创怎么挑",
+   "en": "SCREEN VS NIPT",
+   "key": "没有高危因素，两种都可以，按需选。",
+   "tint": false,
+   "heads": [
+    "唐筛",
+    "无创 DNA"
+   ],
+   "rows": [
+    {
+     "name": "方式",
+     "a": "抽血",
+     "b": "抽血",
+     "win": -1
+    },
+    {
+     "name": "准确度",
+     "a": "较低，假阳性多",
+     "b": "明显更高",
+     "win": 1
+    },
+    {
+     "name": "费用",
+     "a": "便宜，部分地区免费",
+     "b": "较贵，各地不同",
+     "win": 0
+    },
+    {
+     "name": "范围",
+     "a": "21、18 三体和神经管",
+     "b": "主要 21、18、13 三体",
+     "win": -1
+    },
+    {
+     "name": "适合",
+     "a": "无高危因素的孕妈",
+     "b": "临界风险或不想等",
+     "win": -1
+    }
+   ],
+   "note": "唐筛还能提示开放性神经管缺陷，只做无创的，要靠中孕期 B 超和医生评估补上。"
+  },
+  {
+   "type": "list",
+   "title": "哪些人建议直接羊穿",
+   "en": "WHO NEEDS IT",
+   "key": "有这些情况，医生多会建议产前诊断。",
+   "tint": true,
+   "items": [
+    {
+     "tag": "年龄",
+     "tone": "warn",
+     "b": "预产期时满 35 岁",
+     "s": "高龄孕妈染色体异常风险升高，可直接咨询产前诊断"
+    },
+    {
+     "tag": "筛查",
+     "tone": "warn",
+     "b": "唐筛或无创高风险",
+     "s": "高风险只说明要进一步查，不等于有问题"
+    },
+    {
+     "tag": "B 超",
+     "tone": "warn",
+     "b": "B 超发现结构异常",
+     "s": "如 NT 增厚等，医生会评估是否穿刺"
+    },
+    {
+     "tag": "家族史",
+     "tone": "warn",
+     "b": "生育过或家族有染色体病",
+     "s": "夫妻一方染色体异常也属于这一类"
+    },
+    {
+     "tag": "去医院",
+     "tone": "no",
+     "b": "穿刺后腹痛、出血、流液",
+     "s": "穿刺后少量不适常见，加重要马上就诊"
+    }
+   ]
+  },
+  {
+   "type": "check",
+   "title": "我该做哪一种",
+   "en": "SELF CHECK",
+   "key": "选 2 个问题，看看下一步怎么走。",
+   "tint": false,
+   "hint": "2 题选完自动出结果，只在本机计算",
+   "qs": [
+    {
+     "q": "预产期时我的年龄",
+     "opts": [
+      {
+       "t": "35 岁以下",
+       "adv": {
+        "tone": "k",
+        "b": "唐筛或无创，按医生建议选",
+        "s": "没有其他高危因素时两种都可以"
+       }
+      },
+      {
+       "t": "35 岁及以上",
+       "adv": {
+        "tone": "a",
+        "b": "问医生是否直接产前诊断",
+        "s": "高龄孕妈一般建议咨询产前诊断"
+       }
+      }
+     ]
+    },
+    {
+     "q": "现在有没有这些情况",
+     "opts": [
+      {
+       "t": "都没有",
+       "adv": {
+        "tone": "k",
+        "b": "按时做 NT 和筛查就好",
+        "s": "记好各项检查的孕周时间窗"
+       }
+      },
+      {
+       "t": "筛查高风险",
+       "adv": {
+        "tone": "a",
+        "b": "尽快去产前诊断门诊",
+        "s": "多数高风险最后确诊是正常的"
+       }
+      },
+      {
+       "t": "B 超异常 / 家族史",
+       "adv": {
+        "tone": "a",
+        "b": "问医生是否需要羊穿",
+        "s": "这类情况一般不建议只做无创"
+       }
+      },
+      {
+       "t": "错过唐筛时间",
+       "adv": {
+        "tone": "t",
+        "b": "问医生能否改做无创",
+        "s": "无创一般孕 12～22+6 周可做"
+       }
+      }
+     ]
+    }
+   ]
+  }
+ ],
+ "tools": {
+  "title": "筛查用得上的工具",
+  "items": [
+   {
+    "id": "chanjianrili",
+    "why": "记好各项检查时间窗",
+    "btn": "去看"
+   }
+  ]
+ },
+ "sources": [
+  "中华医学会妇产科学分会《孕前和孕期保健指南（2018）》：孕 11～13+6 周 NT 检查及早孕期血清学筛查，孕 15～20+6 周中孕期血清学筛查；产前诊断（羊膜腔穿刺）一般在孕 16～22 周",
+  "国家卫生计生委《孕妇外周血胎儿游离 DNA 产前筛查与诊断技术规范》（2016）：适宜孕周为 12+0～22+6 周，目标疾病为 21、18、13 三体；预产期年龄≥35 岁等属于慎用人群；筛查高风险须进行介入性产前诊断确诊",
+  "原卫生部《产前诊断技术管理办法》：预产期年龄超过 35 周岁、筛查高风险、曾生育染色体异常患儿、B 超可疑异常等属于产前诊断指征",
+  "血清学筛查假阳性率较高，高风险结果中多数经产前诊断为正常；羊膜腔穿刺属于有创操作，存在较低的流产风险，具体由产前诊断医生评估"
+ ],
+ "heroAlt": "孕妈妈和医生一起看检查报告，桌上有血样试管和 B 超图",
+ "color": [
+  "#2E7CF6",
+  "46,124,246",
+  "#EAF2FF"
+ ]
+};</script>
+<script src="../_shared/tools.js"></script>
+<script src="../_shared/article.js?v=26110123"></script>
+</body>
+</html>