二维超声联合四维超声在胎儿畸形诊断中的应用-北京交通大学学报.pdf

96 J Bengbu Med Coll,January2016,Vol.41,No.1 [文章编号] 1000鄄2200(2016)01鄄096鄄04 ·影像医学· 二维超声联合四维超声在胎儿畸形诊断中的应用 张摇 锋,丁摇 中,陈京喆,王亚萍 [摘要]目的:探讨二维超声联合四维超声检查(下称联合超声检查)在胎儿畸形诊断中的临床应用。 方法:选取产前检查孕妇 5050例,孕20~28周。 首先对胎儿进行常规二维超声检查,对怀疑有畸形的胎儿再进行联合超声检查,并根据引产、分娩或 到上级医院进一步检查结果进行对比分析,评价其诊断符合率。 结果:5 050 例孕妇共分娩5 064 例胎儿,其中双胎 14 例,单 纯二维超声检查发现畸形87例,联合超声检查发现畸形117例,经临床证实的胎儿畸形 124 例,联合超声检查诊断正确率为 94.4%,明显高于单纯二维超声诊断正确率70.2%(P0.01)。 结论:在胎儿畸形诊断中采用联合超声检查,能有效地提高诊 断准确性,降低缺陷患儿的出生率,具有较高的临床应用价值。 [关键词] 畸形/ 诊断;胎儿畸形;二维超声;四维超声;产前诊断 [中图法分类号] R714.53摇 摇 摇 [文献标志码]A摇 摇 摇 DOI:10.13898/ j.cnki.issn.1000鄄2200.2016.01.030 The application of two鄄dimensional ultrasound combined with four鄄dimensional ultrasound in the diagnosis of fetal malformation ZHANG Feng,DINGZhong,CHENJing鄄zhe,WANGYa鄄ping (Department of Ultrasound,The Third People忆s Hospital of Bengbu,BengbuAnhui233000,China) [Abstract] Objective:To investigate the clinical value of two鄄dimensional ultrasound combined with four鄄dimensional ultrasound in the diagnosisoffetal malformation.Methods:Fivethousandandfifty pregnantwomendetectedbytwo鄄dimensionalultrasoundcombined with four鄄dimensional ultrasound,pregnancy 20 to 28 weeks were investigated. The fetus was examined using two鄄dimensional ultrasonography,the fetus suspected with malformation was additionally examined using four鄄dimensional ultrasound.The data of the induced abortion,delivery and further examination results from superior hospital were analyzed to evaluate the diagnosis coincidence rate.Results:Five thousand and sixty鄄four fetuses(including 14 cases twin) born by five thousand and fifty pregnant women included 87 cases malformation detectedbytwo鄄dimensionalultrasonography and 117 casesmalformationdetectedbytwo鄄dimensionalultrasound combined