四维彩超在诊断妊娠期胎儿体表畸形中的应用价值.docVIP

四维彩超在诊断妊娠期胎儿体表畸形中的应用价值 　　[摘要]目的 分析四维彩超在诊断妊娠期胎儿体表畸形中的临床价值。方法 选取2015年2月～2016年2月在本院进行检查的孕妇289例作为研究对象（所有病例均经产后证实），对其病例资料进行回顾性分析。所有入选病例均分别用二维和四维彩超进行检查。比较两种检查方法诊断胎儿畸形的准确率。结果 289例病例经临床证实，胎儿体表畸形共26例。四维彩超检出24例，准确率为92.31%，漏诊率为7.69%；二维彩超检出16例，准确率为61.53%，漏诊率为38.46%，两组准确率及漏诊率比较，差异有统计学意义（P0.05）。结论 四维彩超图像立体、直观，更能准确地反映胎儿体表畸形，在产前胎儿畸形诊断中有较好的应用价值 [关键词]二维彩超；四维彩超；胎儿畸形；诊断价值 [中图分类号] R714.5 [文献标识码] A [文章编号] 1674-4721（2016）07（a）-0144-03 [Abstract]Objective To analyze the clinical value of four-dimensional color doppler ultrasound in diagnosis gestation period fetus surface malformation.Methods 289 pregnant women who conducted examination from February 2015 to February 2016 in our hospital were selected as study object and the data of them were retrospective analyzed （all cases were confirmed by postnatal）.All selected patients were respectively examined by four-dimensional and four-dimensional color doppler ultrasound.The accuracy rate of two methods in diagnosis fetus malformation was compared.Results 289 cases with clinically confirmed，26 cases were fetus surface malformation.Four-dimensional color doppler ultrasound checked out 24 cases，the accuracy rate and rate of missed diagnosis was respectively 92.31% and 7.69%；two-dimensional color doppler ultrasound checked out 16 cases，the accuracy rate and rate of missed diagnosis were respectively 61.53% and 38.46%，and the difference was obvious when compared between two groups （P0.05）.Conclusion The image of four-dimensional color Doppler ultrasound is stereo and intuitive，and can be more accurately reflect the fetus surface malformation and has better application value in pre-natal fetus malformation diagnosis. [Key words] Two-dimensional color doppler ultrasound；Four-dimensional color doppler ultrasound；Fetus malformation；Diagnosis value 随着影像技术和计算机技术的发展，四维彩超在超声成像中占明显优势，因此，在产前胎儿畸形诊断中的应用越来越广泛[1]。四维彩超成像和二维、三维超声比较，能更直观全面化，病灶空间定位更准确，信息量更加丰富[2-3]。本研究对289例孕妇分别使用二维、四维彩超进行检查，并进行对比分析，探讨四维彩超在胎儿体表畸形诊断中的应用价值 1资料与方法 1.1一般资料 　　选取2015年2