CAJ | 학술논문

目的：应用实时立体超声（STIC）联合分段解析法诊断胎儿房室通道缺损。方法：使用 PHILIPS iE33超声多普勒诊断仪对6600位高危孕妇筛查，其中12例由二维灰阶超声心动图初诊为胎儿房室通道缺损，再采用STIC法进行采集数据及脱机回放解析与尸检或与生后灰阶超声对比。结果：实时立体超声（STIC）联合分段解析法与二维灰阶超声比较，在胎儿房室通道缺损的诊断中符合率分别为96．5％、96．7％，检查时间较二维灰阶时间短，二者比较差异有统计学意义（P＞0．03）。结论：STIC技术联合分段解析法较二维灰阶超声检查可更直观、简洁获得有价值的信息，极大地提高房室通道缺损诊断符合率，是更能高效地检出胎儿房室通道缺损的一种新技术。
목적：응용실시입체초성（STIC）연합분단해석법진단태인방실통도결손。방법：사용 PHILIPS iE33초성다보륵진단의대6600위고위잉부사사，기중12례유이유회계초성심동도초진위태인방실통도결손，재채용STIC법진행채집수거급탈궤회방해석여시검혹여생후회계초성대비。결과：실시입체초성（STIC）연합분단해석법여이유회계초성비교，재태인방실통도결손적진단중부합솔분별위96．5％、96．7％，검사시간교이유회계시간단，이자비교차이유통계학의의（P＞0．03）。결론：STIC기술연합분단해석법교이유회계초성검사가경직관、간길획득유개치적신식，겁대지제고방실통도결손진단부합솔，시경능고효지검출태인방실통도결손적일충신기술。
Objective To evaluate the application of STIC with segmented analytical method in the diagnosis of fetal atrial septal defect. Method Review the 6600 high-risk pregnant women who accepted PHILIPS iE33 Echocardio graphy examination in our hospital , twelve cases by two-dimensional echocardiographicas atrial septal defect then using real-time STIC method to collect data and offline playback compared with sonography after birth. Results Compared with two-dimensional gray-scale ultrasonography , in the diagnosis of fetal atrial septal defect the coincidence rate of STIC with segmented analytical method was 96.5% and 96.7% respectively , no statistically difference between them (P > 0.03). However, the operating time in STIC with segmented analytical method is shorter, and with the statistically significant (P < 0.03). Conclusion Compared with gray-scale ultrasound , STIC technique combined with segmented analytical method can obtain more valuable information and improve the diagnosis coincidence rate , which is a valuable new technology.