中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
26期
136-138,139
,共4页
二维和三维超声联合应用%中孕胎儿畸形%超声诊断
二維和三維超聲聯閤應用%中孕胎兒畸形%超聲診斷
이유화삼유초성연합응용%중잉태인기형%초성진단
2D and 3D ultrasonography combined application%Fetal malformation%Ultrasonic diagnosis
目的：探讨二维和三维超声联合应用对中孕胎儿畸形的产前诊断价值。方法：对2009年1月-2014年12月联合应用二维和三维超声进行产前检查发现的445例22~28周胎儿畸形超声影像与临床资料进行回顾性分析。结果：颅脑发育异常71例（16%）、颜面部畸形44例（10%）、心脏畸形82例（18%）、胸部发育异常17例（4%）、泌尿系统发育异常52例（12%）、消化道与腹壁异常53例（12%）、骨骼系统发育异常45例（10%）、多发畸形40例（9%）、水肿胎41例（9%）；另胎儿附属结构异常52例。均与省级妇幼保健院诊断一致或与本院临床产出胎儿所见畸形特征一致。结论：二维和三维超声联合应用诊断中孕胎儿畸形的准确率高，在诊断胎儿畸形中明显优于单一检查方式。合理采用两种检查方法对于提高产前诊断的准确率有重要的临床价值，是有效的产前筛查方法。
目的：探討二維和三維超聲聯閤應用對中孕胎兒畸形的產前診斷價值。方法：對2009年1月-2014年12月聯閤應用二維和三維超聲進行產前檢查髮現的445例22~28週胎兒畸形超聲影像與臨床資料進行迴顧性分析。結果：顱腦髮育異常71例（16%）、顏麵部畸形44例（10%）、心髒畸形82例（18%）、胸部髮育異常17例（4%）、泌尿繫統髮育異常52例（12%）、消化道與腹壁異常53例（12%）、骨骼繫統髮育異常45例（10%）、多髮畸形40例（9%）、水腫胎41例（9%）；另胎兒附屬結構異常52例。均與省級婦幼保健院診斷一緻或與本院臨床產齣胎兒所見畸形特徵一緻。結論：二維和三維超聲聯閤應用診斷中孕胎兒畸形的準確率高，在診斷胎兒畸形中明顯優于單一檢查方式。閤理採用兩種檢查方法對于提高產前診斷的準確率有重要的臨床價值，是有效的產前篩查方法。
목적：탐토이유화삼유초성연합응용대중잉태인기형적산전진단개치。방법：대2009년1월-2014년12월연합응용이유화삼유초성진행산전검사발현적445례22~28주태인기형초성영상여림상자료진행회고성분석。결과：로뇌발육이상71례（16%）、안면부기형44례（10%）、심장기형82례（18%）、흉부발육이상17례（4%）、비뇨계통발육이상52례（12%）、소화도여복벽이상53례（12%）、골격계통발육이상45례（10%）、다발기형40례（9%）、수종태41례（9%）；령태인부속결구이상52례。균여성급부유보건원진단일치혹여본원림상산출태인소견기형특정일치。결론：이유화삼유초성연합응용진단중잉태인기형적준학솔고，재진단태인기형중명현우우단일검사방식。합리채용량충검사방법대우제고산전진단적준학솔유중요적림상개치，시유효적산전사사방법。
Objective:To investigate the prenatal diagnosis value of using the two-dimensional and three-dimensional ultrasound application in fetal malformation.Method:445 cases of fetal malformation in 22-28 weeks were found by the combined application of two-dimensional and three-dimensional ultrasound from January 2009 to December 2014,their prenatal examination ultrasonic image and the clinical data were retrospective analyzed. Result:The brain development abnormality were 71 cases (16%), facial deformity were 44 cases (10%), cardiac anomalies were 82 cases (18%), thoracic dysplasia were 17 cases (4%), urinary system abnormalities were 52 cases (12%), abnormal gastrointestinal and abdominal wall were 53 cases (12%), skeletal dysplasia were 45 cases (10%), multiple malformations were 40 cases (9%), fetal edema were 41 cases (9%);and abnormal fetal appendages were 52 cases. All the diagnosis were tested and verified by the provincial maternal and child care service centre,or all the fetus malformation features were the same as the clinic cases in our hospital.Conclusion:The two-dimensional ultrasound and the three-dimensional ultrasound combined application,has a high accuracy rate in diagnose the fetal malformation, and it is superior than one-way examining method. Rationally using the two kinds of examining methods has a great clinic value for improving the accuracy rate in prenatal diagnosis.It is an effective method for antenatal screening.
