广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2015年
4期
92-94
,共3页
三维超声%二维超声%唇裂
三維超聲%二維超聲%脣裂
삼유초성%이유초성%진렬
three-dimensional ultrasonography%two-dimensional ultrasonography%cleft lip
目的：：对比三维与二维超声对胎儿正常唇及唇裂的诊断价值。方法：回顾性分析2011年1月至2014年12月在本院进行孕前检查的4380例孕妇的临床资料，统计二维超声、三维超声的漏诊率、诊断符合率、不同孕周检出率。结果：4380例孕妇中产后发现正常唇胎儿4355例，唇腭裂胎儿25例(单纯性唇裂9例、唇腭裂l6例)。二维超声漏诊7例(0.16％)，三维超声漏诊l例(0.02％)，三维超声漏诊率低于二维超声(P<0.05)。三维超声对单纯性唇裂、唇腭裂的诊断符合率高于二维超声(P<0.05)。两种超声唇裂筛查方式均在孕25~34周检出率最高。结论：三维超声检查较传统二维超声具有更高的检出率，对产前胎儿唇裂筛查具有重要临床价值。
目的：：對比三維與二維超聲對胎兒正常脣及脣裂的診斷價值。方法：迴顧性分析2011年1月至2014年12月在本院進行孕前檢查的4380例孕婦的臨床資料，統計二維超聲、三維超聲的漏診率、診斷符閤率、不同孕週檢齣率。結果：4380例孕婦中產後髮現正常脣胎兒4355例，脣腭裂胎兒25例(單純性脣裂9例、脣腭裂l6例)。二維超聲漏診7例(0.16％)，三維超聲漏診l例(0.02％)，三維超聲漏診率低于二維超聲(P<0.05)。三維超聲對單純性脣裂、脣腭裂的診斷符閤率高于二維超聲(P<0.05)。兩種超聲脣裂篩查方式均在孕25~34週檢齣率最高。結論：三維超聲檢查較傳統二維超聲具有更高的檢齣率，對產前胎兒脣裂篩查具有重要臨床價值。
목적：：대비삼유여이유초성대태인정상진급진렬적진단개치。방법：회고성분석2011년1월지2014년12월재본원진행잉전검사적4380례잉부적림상자료，통계이유초성、삼유초성적루진솔、진단부합솔、불동잉주검출솔。결과：4380례잉부중산후발현정상진태인4355례，진악렬태인25례(단순성진렬9례、진악렬l6례)。이유초성루진7례(0.16％)，삼유초성루진l례(0.02％)，삼유초성루진솔저우이유초성(P<0.05)。삼유초성대단순성진렬、진악렬적진단부합솔고우이유초성(P<0.05)。량충초성진렬사사방식균재잉25~34주검출솔최고。결론：삼유초성검사교전통이유초성구유경고적검출솔，대산전태인진렬사사구유중요림상개치。
Objective: To compare the diagnostic value of three-dimensional and two-dimensional ultrasonography on normal lip and cleft lip in fetus. Methods: The clinical data of 4380 pregnant women underwent pre-pregnancy physical examination in our hospital between January 2011 and December 2014 were retrospectively analyzed. The missed diagnosis rate, diagnostic accordance rate, and prevalence at different gestational weeks of the three-dimensional and two-dimensional ultrasonography were statistically analyzed. Results:The 4 380 pregnant women gave birth to 4355 fetus with normal lip and 25 fetus with cleft lip and palate (9 simple cleft lip and 16 cleft lip and palate). Missed diagnosis were found in 7 patients by two-dimensional ultrasonography ( 0. 16%) and 1 patient by three-dimensional ultrasonography ( 0. 02%) . The missed diagnosis rate of three-dimensional ultrasonography was lower than that of two-dimensional ultrasonography ( P<0.05) . The diagnostic accordance rate of three-dimensional ultrasonography was higher than that of two-dimensional ultrasonography on simple cleft lip and cleft lip and palate ( P<0.05) . Highest prevalence of two-dimensional and three-dimensional ultrasonography on cleft lip was foud at 25-34 gestational week. Conclusion:The prevalence of three-dimensional ultrasonography is higher than that of two-dimensional ultrasonography, which has significantly clinical value for the prenatal screening of fetal cleft lip.
