当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
10期
17-18
,共2页
胎儿心脏畸形%四维超声%时空关联成像技术%诊断价值
胎兒心髒畸形%四維超聲%時空關聯成像技術%診斷價值
태인심장기형%사유초성%시공관련성상기술%진단개치
Fetal cardiac malformation%Four-dimensional ultrasonography%Spatio-temporal image correlation technology%Clinical value
目的：分析并探讨四维超声时空关联成像（STIC）技术对胎儿心脏畸形的特点及诊断价值。方法对2009年6月～2013年7月珠海市妇幼保健院入院检查的2000例孕妇的临床资料进行回顾性分析，统计二维及四维超声诊断胎儿心脏畸形的确诊人数和检出阳性率。结果2000例孕妇共检查出胎儿心脏畸形21例（1.05%）。21例心脏畸形胎儿中经四维超声STIC技术诊断检出18例，其检出阳性率为85.7%；经二维超声诊断检出16例，检出阳性率为76.2%。二者联合诊断下检出20例。联合诊断的诊断阳性率高于单一四维超声STIC技术诊断和单一二维超声诊断，差异有统计学意义(P＜0.05)。单一四维超声STIC技术诊断和单一二维超声诊断二者诊断阳性率间的差异无统计学意义。结论四维超声STIC技术成像动态形象，准确率高，可以作为临床上诊断胎儿心脏畸形的首选检查方法。四维超声STIC技术联合二维超声诊断胎儿心脏畸形检出阳性率高，可以作为常规诊疗手段协助临床初筛，指导早期对症治疗。
目的：分析併探討四維超聲時空關聯成像（STIC）技術對胎兒心髒畸形的特點及診斷價值。方法對2009年6月～2013年7月珠海市婦幼保健院入院檢查的2000例孕婦的臨床資料進行迴顧性分析，統計二維及四維超聲診斷胎兒心髒畸形的確診人數和檢齣暘性率。結果2000例孕婦共檢查齣胎兒心髒畸形21例（1.05%）。21例心髒畸形胎兒中經四維超聲STIC技術診斷檢齣18例，其檢齣暘性率為85.7%；經二維超聲診斷檢齣16例，檢齣暘性率為76.2%。二者聯閤診斷下檢齣20例。聯閤診斷的診斷暘性率高于單一四維超聲STIC技術診斷和單一二維超聲診斷，差異有統計學意義(P＜0.05)。單一四維超聲STIC技術診斷和單一二維超聲診斷二者診斷暘性率間的差異無統計學意義。結論四維超聲STIC技術成像動態形象，準確率高，可以作為臨床上診斷胎兒心髒畸形的首選檢查方法。四維超聲STIC技術聯閤二維超聲診斷胎兒心髒畸形檢齣暘性率高，可以作為常規診療手段協助臨床初篩，指導早期對癥治療。
목적：분석병탐토사유초성시공관련성상（STIC）기술대태인심장기형적특점급진단개치。방법대2009년6월～2013년7월주해시부유보건원입원검사적2000례잉부적림상자료진행회고성분석，통계이유급사유초성진단태인심장기형적학진인수화검출양성솔。결과2000례잉부공검사출태인심장기형21례（1.05%）。21례심장기형태인중경사유초성STIC기술진단검출18례，기검출양성솔위85.7%；경이유초성진단검출16례，검출양성솔위76.2%。이자연합진단하검출20례。연합진단적진단양성솔고우단일사유초성STIC기술진단화단일이유초성진단，차이유통계학의의(P＜0.05)。단일사유초성STIC기술진단화단일이유초성진단이자진단양성솔간적차이무통계학의의。결론사유초성STIC기술성상동태형상，준학솔고，가이작위림상상진단태인심장기형적수선검사방법。사유초성STIC기술연합이유초성진단태인심장기형검출양성솔고，가이작위상규진료수단협조림상초사，지도조기대증치료。
Objective To investigate and analyze the characteristics and clinical value of four-dimensional spatio-temporal image correlation technology (STIC) technology in the diagnosis of fetal cardiac malformation.Method The clinical data of 2000 cases of pregnant women who did medical tests in the hospital from June 2009 to July 2013 were retrospectively analyzed. The number of diagnosed patients was summarized, and the effective rates of the diagnosis methods were under investigated.Results A total of 21 cases of patients with fetal cardiac malformation were found in the 2000 cases of pregnant women. Though four-dimensional STIC technology 18 cases were diagnosed, the detection sensitivity value was 85.7%; Though two-dimensional ultrasonography 16 cases were diagnosed, the detection sensitivity value was 76.2%; While by the combined diagnosis method, 20 cases were diagnosed. The detection sensitivity value of the combined diagnosis method was higher than that of both single four-dimensional STIC technology diagnosis and single two-dimensional ultrasonography diagnosis. The overall difference reached signiifcant level (P<0.05).Conclusion For patients with fetal cardiac malformation, the four-dimensional STIC technology can serve as a preferred detective method due to its high rate of accuracy, and the combination of four-dimensional STIC technology with two-dimensional ultrasonography can act as an effective diagnosis method.
