不同体位对四维彩超中诊断胎儿面部结构的影响比较.pdfVIP

辽宁医学院学报 2014 Dec.35(6) 70 J Liaoning Medical University 不同体位对四维彩超中诊断胎儿面部结构的影响比较 罗妙云 (普宁市妇幼保健院超声科, 广东 普宁515300) 摘要: 目的 探讨不同体位对四维彩超中诊断胎儿面部结构的的影响。 方法 对我院行四维超声产检中发现胎儿面部 结构观察不清的孕妇205例, 随机分为观察组105例, 膝胸卧位15 min后行四维彩超, 仍显示不清者休息30 min后再行膝 胸卧位检查; 对照组100例, 在自由活动30 min后再行四维彩超检查, 仍显示不清者膝胸卧位15 min后再查。 结果 观察 组膝胸卧位四维彩超清楚显示胎儿面部结构者占87.62%, 在休息15 min后再次膝胸位者显示成功率占12.38%; 对照组在 上述两个时间段可清楚显示胎儿面部结构占16.0%和72.0%, 其余12.0%在60 min后方显示清除, 两组各时间段胎儿面 部结构显示成功率比较差异有统计学意义 (P0.05)。 结论 四维彩超中单纯膝胸位即可快速、 简单显示胎儿面部结构, 该体位适合临床广泛推广。 关键词: 体位; 四维彩超; 胎儿面部结构 中图分类号: R445.1 文献标志码: A 文章编号:1674-0424(2014)06-0070-02 The Influence of Different Positions on the Diagnosis of Fetal Facial Structure by Four Dimensional Color Doppler Ultrasound LUO Miaoyun (Ultrasonography Department,the Maternal and Child Health Care Hospital of Puning,Puning515300 China) Abstract:Objective To explore the influence of different positions on the diagnosis of fetal facial structure by four dimensional colordopplerultrasound. Methods 205 casesofpregnantwomen,whounderwentfour-dimensionalultrasoundcheckinourhospital, with unclearfetalfacial structurehavingbeendetected,weredividedintotheobservationgroup (with 105 cases)andthecontrolgroup (with 100 cases) randomly. The observation group were examinedwith four dimensional color doppler ultrasound after knee chest de- cubitusfor 15 min. If stillnotclear,theywereaskedtohavearestfor30 minanddetectedagainwithkneechestdecubitus. Thecon- trol group underwent four-dimensional ultrasound check again after30 minutesof free activities. If still not clear,theywere