中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
116-117
,共2页
二维超声%四维超声%产科%诊断
二維超聲%四維超聲%產科%診斷
이유초성%사유초성%산과%진단
Two-dimension ultrasound%Four-ension ultrasound%Ostetric%Diagnosis
目的：比较探讨二维(2D)与四维(4D)超声在产科临床诊断中的应用价值。方法：2013年3月-2014年3月收治超声检查的孕产妇2948例，分别采用2D与4D超声进行检查，比较两种检查方法对胎儿畸形的检出率。结果：2D组检出唇腭裂25例，92.6%(25/27)；神经系统畸形13例，81.3%(13/16)；四肢畸形9例，56.3%(9/16)；心脏异常9例，60.0%(9/15)；腹裂8例，80%(8/10)；胸、腹水7例，87.5%(7/8)；淋巴囊肿6例，75%(6/8)。4D 组检出唇腭裂26例，96.3%(26/27)；神经系统畸形16例，100%(16/16)；四肢畸形14例，87.5%(14/16)；心脏异常14例，93.3%(14/15)；腹裂10例，100%(10/10)；胸、腹水8例，100%(8/8)；淋巴囊肿8例，100%(8/8)。其中4D组四肢畸形和心脏异常的检出率明显高于2D 组，比较差异具有统计学意义(P＜0.05)。结论：与2D 超声相比，4D 超声对胎儿畸形的诊断率更高，具有较高的临床应用价值，可加以推广。
目的：比較探討二維(2D)與四維(4D)超聲在產科臨床診斷中的應用價值。方法：2013年3月-2014年3月收治超聲檢查的孕產婦2948例，分彆採用2D與4D超聲進行檢查，比較兩種檢查方法對胎兒畸形的檢齣率。結果：2D組檢齣脣腭裂25例，92.6%(25/27)；神經繫統畸形13例，81.3%(13/16)；四肢畸形9例，56.3%(9/16)；心髒異常9例，60.0%(9/15)；腹裂8例，80%(8/10)；胸、腹水7例，87.5%(7/8)；淋巴囊腫6例，75%(6/8)。4D 組檢齣脣腭裂26例，96.3%(26/27)；神經繫統畸形16例，100%(16/16)；四肢畸形14例，87.5%(14/16)；心髒異常14例，93.3%(14/15)；腹裂10例，100%(10/10)；胸、腹水8例，100%(8/8)；淋巴囊腫8例，100%(8/8)。其中4D組四肢畸形和心髒異常的檢齣率明顯高于2D 組，比較差異具有統計學意義(P＜0.05)。結論：與2D 超聲相比，4D 超聲對胎兒畸形的診斷率更高，具有較高的臨床應用價值，可加以推廣。
목적：비교탐토이유(2D)여사유(4D)초성재산과림상진단중적응용개치。방법：2013년3월-2014년3월수치초성검사적잉산부2948례，분별채용2D여4D초성진행검사，비교량충검사방법대태인기형적검출솔。결과：2D조검출진악렬25례，92.6%(25/27)；신경계통기형13례，81.3%(13/16)；사지기형9례，56.3%(9/16)；심장이상9례，60.0%(9/15)；복렬8례，80%(8/10)；흉、복수7례，87.5%(7/8)；림파낭종6례，75%(6/8)。4D 조검출진악렬26례，96.3%(26/27)；신경계통기형16례，100%(16/16)；사지기형14례，87.5%(14/16)；심장이상14례，93.3%(14/15)；복렬10례，100%(10/10)；흉、복수8례，100%(8/8)；림파낭종8례，100%(8/8)。기중4D조사지기형화심장이상적검출솔명현고우2D 조，비교차이구유통계학의의(P＜0.05)。결론：여2D 초성상비，4D 초성대태인기형적진단솔경고，구유교고적림상응용개치，가가이추엄。
To explore the application value of two-dimension(2D) ultrasound comparing with four-dimension(4D) ultrasound in the obstetric clinical diagnosis.Methods:2 948 pregnant women with ultrasonic examination were selected from March 2013 to March 2014.We make examinations respectively with 2D and 4D ultrasound to compare the detection rate of fetal abnormalities of two inspection methods.Results:In 2D group,25 cases were cheilopalatognathus,92.6% (25/27);13 cases were nervous system malformations,81.3%(13/16);9 cases were limb deformities,56.3%(9/16);9 cases were heart abnormity,60.0%(9/15);8 cases were gastroschisis,80%(8/10);7 cases were hydrothorax and ascites,87.5%(7/8);6 cases were lymphocyst,75%(6/8).In 4D group,26 cases were cheilopalatognathus,96.3%(26/27);16 cases were nervous system malformations,100%(16/16);14 cases were limb deformities,87.5% (14/16);14 cases were heart abnormity,93.3% (14/15);10 cases were gastroschisis,100% (10/10);8 cases were hydrothorax and ascites,100% (8/8);8 cases were lymphocyst,100% (8/8).The detection rate of limb deformities and heart abnormity from 4D were apparently higher than 2D.The difference has statistical significance(P<0.05).Conclusion:Compared with 2D ultrasound,4D ultrasound has higher diagnostic rate to fetal malformation and higher clinical value.It can be generalized.
