CAJ | 학술논문

目的：探讨不同体位对四维彩超中诊断胎儿面部结构的的影响。方法对我院行四维超声产检中发现胎儿面部结构观察不清的孕妇205例，随机分为观察组105例，膝胸卧位15 min后行四维彩超，仍显示不清者休息30 min后再行膝胸卧位检查；对照组100例，在自由活动30 min后再行四维彩超检查，仍显示不清者膝胸卧位15 min后再查。结果观察组膝胸卧位四维彩超清楚显示胎儿面部结构者占87.62%，在休息15 min后再次膝胸位者显示成功率占12.38%；对照组在上述两个时间段可清楚显示胎儿面部结构占16.0%和72.0%，其余12.0%在60 min后方显示清除，两组各时间段胎儿面部结构显示成功率比较差异有统计学意义( P<0.05)。结论四维彩超中单纯膝胸位即可快速、简单显示胎儿面部结构，该体位适合临床广泛推广。
목적：탐토불동체위대사유채초중진단태인면부결구적적영향。방법대아원행사유초성산검중발현태인면부결구관찰불청적잉부205례，수궤분위관찰조105례，슬흉와위15 min후행사유채초，잉현시불청자휴식30 min후재행슬흉와위검사；대조조100례，재자유활동30 min후재행사유채초검사，잉현시불청자슬흉와위15 min후재사。결과관찰조슬흉와위사유채초청초현시태인면부결구자점87.62%，재휴식15 min후재차슬흉위자현시성공솔점12.38%；대조조재상술량개시간단가청초현시태인면부결구점16.0%화72.0%，기여12.0%재60 min후방현시청제，량조각시간단태인면부결구현시성공솔비교차이유통계학의의( P<0.05)。결론사유채초중단순슬흉위즉가쾌속、간단현시태인면부결구，해체위괄합림상엄범추엄。
Objective To explore the influence of different positions on the diagnosis of fetal facial structure by four dimensional color doppler ultrasound. Methods 205 cases of pregnant women, who underwent four-dimensional ultrasound check in our hospital, with unclear fetal facial structure having been detected, were divided into the observation group ( with 105 cases) and the control group ( with 100 cases) randomly. The observation group were examined with four dimensional color doppler ultrasound after knee chest de-cubitus for 15 min. If still not clear, they were asked to have a rest for 30 min and detected again with knee chest decubitus. The con-trol group underwent four-dimensional ultrasound check again after 30 minutes of free activities. If still not clear, they were examined again after 15-minute knee chest decubitus. Results The cases showing clear fetal facial structure in knee chest decubitus with four dimensional color doppler ultrasound accounted for 87. 62% in the observation group, and the success rate was 12. 38% after a 15-min rest. The cases in the control group in the above-mentioned two periods accounted for 16. 0% and 72. 0% respectively, and the rest 12. 0% showed clear after 60 minutes. The difference of success rate of fetal facial structure showing in each period of the two groups is statistically significant (P<0. 05). Conclusion Knee chest decubitus used in four dimensional color doppler ultrasound can show clear fetal facial structure quickly and easily, and is suitable for clinical promotion widely.