CAJ | 학술논문

目的：探讨实时三维双平面法对胎儿心脏畸形的诊断价值。方法选择2008年12月～2013年5月于本院进行检查的420例孕妇，采用常规二维超声或实时双平面超声筛查胎儿心脏畸形，并对两种方法的敏感性和特异性进行比较。结果实时双平面超声法的敏感性和特异性分别为89.02%和95.94%，常规二维超声法的敏感性和特异性分别为71.74%和91.67%，敏感性差异具有统计学意义（P<0.05），特异性差异无统计学意义（P﹥0.05）。结论与常规二维超声相比，实时双平面法可提供更多的诊断信息，对胎儿心脏畸形的诊断具有重要的临床意义。
목적：탐토실시삼유쌍평면법대태인심장기형적진단개치。방법선택2008년12월～2013년5월우본원진행검사적420례잉부，채용상규이유초성혹실시쌍평면초성사사태인심장기형，병대량충방법적민감성화특이성진행비교。결과실시쌍평면초성법적민감성화특이성분별위89.02%화95.94%，상규이유초성법적민감성화특이성분별위71.74%화91.67%，민감성차이구유통계학의의（P<0.05），특이성차이무통계학의의（P﹥0.05）。결론여상규이유초성상비，실시쌍평면법가제공경다적진단신식，대태인심장기형적진단구유중요적림상의의。
Objective To explore the clinical value of real-time three-dimensional biplane echocardiography in the diagnosis of fetal cardiac malformation. Methods 420 pregnant women examined in our hospital from December 2008 to May 2013 were chosen. Conventional two-dimensional ultrasound and real-time biplanar ultrasound were used to screen fetal cardiac malformation. Then the sensitivities and speciifcities of the two methods were compared. Results The sensitivity and speciifcity of real-time biplanar ultrasound were 89.02%and 95.94%, respectively. The sensitivity and speciifcity of conventional two-dimensional ultrasound were 71.74%and 91.67%, respectively. There were signiifcant differences on sensitivities between the two methods in diagnosing fetal cardiac malformation (P<0.05). However, the speciifcities were not signiifcant different between the two methods (P>0.05). Conclusion Compared with conventional two-dimensional ultrasound, real-time biplane echocardiography could provide more diagnostic information and had important clinical value in the diagnosis of fetal cardiac malformation.