中国产前诊断杂志（电子版）
中國產前診斷雜誌（電子版）
중국산전진단잡지（전자판）
CHINESE JOURNAL OF PRENATAL DIAGNOSIS(ELECTRONIC VERSION)
2015年
2期
27-31,42
,共6页
卢洪涛%李清%郑学东%王建伟%郑斌%张艳
盧洪濤%李清%鄭學東%王建偉%鄭斌%張豔
로홍도%리청%정학동%왕건위%정빈%장염
超声检查%产前%胎儿%手足畸形
超聲檢查%產前%胎兒%手足畸形
초성검사%산전%태인%수족기형
ultrasound%prenatal%fetus%hand-foot abnormalities
目的：探讨四维超声（four-dimensional ultrasound，4D）即实时三维超声在胎儿手足畸形诊断中的应用价值。方法对16737例胎儿顺序进行二维超声（two-dimensional ultrasound，2D）和4D 检查，重点观察胎儿手、足有无发育异常和其他合并畸形。将产前超声检查结果与引产后或产后结果相对照，比较2D 与4D 对胎儿手足畸形例数检出率、病变细节的检出率及病变部位图像质量。结果经产后或引产后证实有61例120处胎儿手足畸形。2D 及4D 对胎儿手足畸形的病例检出率分别为77．05％（47／61）、93．44％（57／61），对胎儿手足畸形病变细节的检出率分别为71．67％（86／120）、89．17％（107／120），P 值均＜0．05，差异均有统计学意义。65．57％病变部位的图像显示质量4D 优于2D。结论4D对胎儿手足畸形病例数、病变细节的检出率及病变部位图像质量明显优于2D，具有重要的临床使用价值。
目的：探討四維超聲（four-dimensional ultrasound，4D）即實時三維超聲在胎兒手足畸形診斷中的應用價值。方法對16737例胎兒順序進行二維超聲（two-dimensional ultrasound，2D）和4D 檢查，重點觀察胎兒手、足有無髮育異常和其他閤併畸形。將產前超聲檢查結果與引產後或產後結果相對照，比較2D 與4D 對胎兒手足畸形例數檢齣率、病變細節的檢齣率及病變部位圖像質量。結果經產後或引產後證實有61例120處胎兒手足畸形。2D 及4D 對胎兒手足畸形的病例檢齣率分彆為77．05％（47／61）、93．44％（57／61），對胎兒手足畸形病變細節的檢齣率分彆為71．67％（86／120）、89．17％（107／120），P 值均＜0．05，差異均有統計學意義。65．57％病變部位的圖像顯示質量4D 優于2D。結論4D對胎兒手足畸形病例數、病變細節的檢齣率及病變部位圖像質量明顯優于2D，具有重要的臨床使用價值。
목적：탐토사유초성（four-dimensional ultrasound，4D）즉실시삼유초성재태인수족기형진단중적응용개치。방법대16737례태인순서진행이유초성（two-dimensional ultrasound，2D）화4D 검사，중점관찰태인수、족유무발육이상화기타합병기형。장산전초성검사결과여인산후혹산후결과상대조，비교2D 여4D 대태인수족기형례수검출솔、병변세절적검출솔급병변부위도상질량。결과경산후혹인산후증실유61례120처태인수족기형。2D 급4D 대태인수족기형적병례검출솔분별위77．05％（47／61）、93．44％（57／61），대태인수족기형병변세절적검출솔분별위71．67％（86／120）、89．17％（107／120），P 치균＜0．05，차이균유통계학의의。65．57％병변부위적도상현시질량4D 우우2D。결론4D대태인수족기형병례수、병변세절적검출솔급병변부위도상질량명현우우2D，구유중요적림상사용개치。
Objective To discuss the value of four-dimensional (real-time three-dimensional)ultrasound (four-dimensional ultrasound,4D)in diagnosis of fetal hand-foot abnormalities.Method 16 737 fetuses were given 2D and 4D examinations mainly to detect the existence of fetal hand-foot anomalies and other associated malformations.Comparing the prenatal ultrasound results with post-natal evaluation or abortion findings,we contrasted the two methods in the detection rate of fetal hand-foot abnormalities and in the detection rate of lesion details and in the image quality of the lesion sites.Results There were 61 fetuses with 120 lesion details confirmed with hand-foot abnormalities by post-natal evaluation or abortion.The detection rate with 2D for fetal hand-foot anomalies was 77.05 % (47/61)and with 4D 93.44% (57/61);the detection rates of the lesion details were 71 .67% (86/120)and 89.17% (107/120)separately,both P <0.05 ,whose differences were statistically significant.65 .57% of the cases suggested the image quality of the lesion sites with 4D was better than that with 2D.Conclusions 4D is better than 2D in the detection rate of fetal hand-foot anomalies and in the detection rate of lesion details and in the image quality of lesion sites.
