重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
23期
3233-3235
,共3页
妊娠初期%孕妇%先天畸形%产前诊断%新技术%特异性
妊娠初期%孕婦%先天畸形%產前診斷%新技術%特異性
임신초기%잉부%선천기형%산전진단%신기술%특이성
pregnancy trimester,first%pregnant women%congenital abnormalities%prenatal diagnosis%new technology%speci-ficity
目的：探究应用新技术对早孕期胎儿严重肢体畸形产前超声诊断价值。方法选择早孕期检查的孕妇5843例初步筛选出147例疑似胎儿畸形，依次应用常规超声检查和连续顺序追踪超声法进行检查，并将常规超声检查结果记为对照组，连续顺序追踪超声法检查结果记为观察组。对比两种方法对早孕期胎儿肢体畸形的诊断结果，包括准确率、敏感性、特异性以及阳性预测值、阴性预测值等。结果经产后或临床结果得到肢体畸形胎儿为40例，占27.21%。观察组在对肢体缺失和其他肢体畸形检出率达到100%(14/14)和65.00%(13/20)，显著高于对照组的50.00%(7/14)和5.00%(1/20)。但观察组在对手指畸形的检查未表现出优势。观察组检查的准确度、敏感性与阴性预测值为91.84%、70.00%、89.92%，均高于对照组的78.91%、22.50%、77.54%，差异均有统计学意义(P <0.05)。结论应用连续顺序追踪超声法对早孕期胎儿肢体畸形的检查准确度高，为产前诊断以及后期胎儿处理提供了充足的时间。
目的：探究應用新技術對早孕期胎兒嚴重肢體畸形產前超聲診斷價值。方法選擇早孕期檢查的孕婦5843例初步篩選齣147例疑似胎兒畸形，依次應用常規超聲檢查和連續順序追蹤超聲法進行檢查，併將常規超聲檢查結果記為對照組，連續順序追蹤超聲法檢查結果記為觀察組。對比兩種方法對早孕期胎兒肢體畸形的診斷結果，包括準確率、敏感性、特異性以及暘性預測值、陰性預測值等。結果經產後或臨床結果得到肢體畸形胎兒為40例，佔27.21%。觀察組在對肢體缺失和其他肢體畸形檢齣率達到100%(14/14)和65.00%(13/20)，顯著高于對照組的50.00%(7/14)和5.00%(1/20)。但觀察組在對手指畸形的檢查未錶現齣優勢。觀察組檢查的準確度、敏感性與陰性預測值為91.84%、70.00%、89.92%，均高于對照組的78.91%、22.50%、77.54%，差異均有統計學意義(P <0.05)。結論應用連續順序追蹤超聲法對早孕期胎兒肢體畸形的檢查準確度高，為產前診斷以及後期胎兒處理提供瞭充足的時間。
목적：탐구응용신기술대조잉기태인엄중지체기형산전초성진단개치。방법선택조잉기검사적잉부5843례초보사선출147례의사태인기형，의차응용상규초성검사화련속순서추종초성법진행검사，병장상규초성검사결과기위대조조，련속순서추종초성법검사결과기위관찰조。대비량충방법대조잉기태인지체기형적진단결과，포괄준학솔、민감성、특이성이급양성예측치、음성예측치등。결과경산후혹림상결과득도지체기형태인위40례，점27.21%。관찰조재대지체결실화기타지체기형검출솔체도100%(14/14)화65.00%(13/20)，현저고우대조조적50.00%(7/14)화5.00%(1/20)。단관찰조재대수지기형적검사미표현출우세。관찰조검사적준학도、민감성여음성예측치위91.84%、70.00%、89.92%，균고우대조조적78.91%、22.50%、77.54%，차이균유통계학의의(P <0.05)。결론응용련속순서추종초성법대조잉기태인지체기형적검사준학도고，위산전진단이급후기태인처리제공료충족적시간。
Objective To explore ultrasonographic diagnosis of severe fetal limb deformity in early pregnancy.Methods A total of 5 843 cases of pregnant women were screened and 147 cases of suspected fetal malformation were sellected.The routine ul-trasound examination results were recorded as control group,and continuous order tracking ultrasonic method inspection results were recorded as observation group.The accuracy,sensitivity,specificity,positive predictive value,and negative predictive value was compared.Results The clinical results obtained in multiparous or limb malformation fetus were 40 cases,accounting for 27.21%. In the observation group on limb loss and other detection rate of 100% (14/14)and 65.00% (13/20),significantly higher than those in control group 50.00% (7/14)and 5.00% (1/20).But in the observation group on finger deformity examination showed no advantage.Observation accuracy,sensitivity and negative predictive value was 91.84%,70.00%,89.92%,which were higher than those in the control group(78.91%,22.50%,77.54%).The differences were statistically significant (P <0.05).Conclusion The application of continuous order tracking ultrasonic method to check the first trimester fetal limb deformity with high accuracy,pro-vided sufficient time for prenatal diagnosis of fetal treatment and late.
