国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
24期
3801-3803
,共3页
四维彩超%胎儿%先天性畸形
四維綵超%胎兒%先天性畸形
사유채초%태인%선천성기형
Four-dimensional color Doppler ultrasound%Fetus%Congenital malformation
目的 探讨四维彩超在胎儿先天性畸形中的诊断价值.方法 随机观察我院2012年1月至2014年1月孕中晚期孕妇1200例产前常规超声检查结果,所有孕妇均进行了二维超声和四维超声检查,并随访至产后1个月,比较二维超声和四维超声诊断胎儿先天性畸形的准确性.结果 经产后临床证实,共发现先天性胎儿畸形34例,其中神经管畸形10例,心脏畸形8例,唇腭裂7例,泌尿系畸形3例,四肢畸形3例,腹部畸形1例,其他2例.四维超声检出畸形31例,与产后符合率91.17％;漏诊3例,其中多指畸形1例,脊柱裂2例.二维超声检出畸形26例,符合率76.47％;漏诊8例,其中唇腭裂2例,多指畸形2例,脊柱裂3例,足内翻1例.二维和四维超声的诊断符合率比较差异具有统计学意义(P＜0.05).结论 四维超声更能多方位、多切面观察胎儿宫内发育情况,对诊断胎儿体表畸形具有更直观和准确的判断,具有较高的临床价值.
目的 探討四維綵超在胎兒先天性畸形中的診斷價值.方法 隨機觀察我院2012年1月至2014年1月孕中晚期孕婦1200例產前常規超聲檢查結果,所有孕婦均進行瞭二維超聲和四維超聲檢查,併隨訪至產後1箇月,比較二維超聲和四維超聲診斷胎兒先天性畸形的準確性.結果 經產後臨床證實,共髮現先天性胎兒畸形34例,其中神經管畸形10例,心髒畸形8例,脣腭裂7例,泌尿繫畸形3例,四肢畸形3例,腹部畸形1例,其他2例.四維超聲檢齣畸形31例,與產後符閤率91.17％;漏診3例,其中多指畸形1例,脊柱裂2例.二維超聲檢齣畸形26例,符閤率76.47％;漏診8例,其中脣腭裂2例,多指畸形2例,脊柱裂3例,足內翻1例.二維和四維超聲的診斷符閤率比較差異具有統計學意義(P＜0.05).結論 四維超聲更能多方位、多切麵觀察胎兒宮內髮育情況,對診斷胎兒體錶畸形具有更直觀和準確的判斷,具有較高的臨床價值.
목적 탐토사유채초재태인선천성기형중적진단개치.방법 수궤관찰아원2012년1월지2014년1월잉중만기잉부1200례산전상규초성검사결과,소유잉부균진행료이유초성화사유초성검사,병수방지산후1개월,비교이유초성화사유초성진단태인선천성기형적준학성.결과 경산후림상증실,공발현선천성태인기형34례,기중신경관기형10례,심장기형8례,진악렬7례,비뇨계기형3례,사지기형3례,복부기형1례,기타2례.사유초성검출기형31례,여산후부합솔91.17％;루진3례,기중다지기형1례,척주렬2례.이유초성검출기형26례,부합솔76.47％;루진8례,기중진악렬2례,다지기형2례,척주렬3례,족내번1례.이유화사유초성적진단부합솔비교차이구유통계학의의(P＜0.05).결론 사유초성경능다방위、다절면관찰태인궁내발육정황,대진단태인체표기형구유경직관화준학적판단,구유교고적림상개치.
Objective To investigate the diagnostic value of four-dimensional (4D) color Doppler ultrasound examination in prenatal screening of fetal malformation.Methods 1200 pregnant women were observed and detected by four-dimensional color Doppler and two dimensional ultrasound.The results were compared with the results confirmed by clinical pathology.Results 34 cases were detected with congenital defects; among which,10 got defects in nervous system,8 heart deformity,7 cheilopalatognathus,3 urinary tract malformation,3 limb deformity,1 abdominal deformity,and the other 2 cases.31 cases were detected with deformity by four-dimensional color Doppler,with a postpartum coincidence rate of 91.17％; and 3 cases were misdiagnosed,of which 1 case had polydactyly deformity and 2 cases spina bifida.26 cases were detected with deformity by two-dimensional ultrasony,with a postpartum coincidence rate of 76.47％; and 8 cases were misdiagnosed,of which 2 cases had cleft lip and palate,2 case polydactyly deformity,3 cases spina bifida,and 1 cases strephenopodia.There were statistical differences between the two methods (P ＜ 0.05).Conclusions Four-dimensional color Doppler can multi-dimensionally and multi-sectionly observe the abnormal development of fetus and has high clinical value for surface deformity fetus and a more intuitive and accurate judgment.
