探讨胎儿颈项透明层厚度（NT）超声检测联合孕中期四维彩超筛查诊断胎儿畸形的应用价值.docVIP

精品论文 参考文献 探讨胎儿颈项透明层厚度（NT）超声检测联合孕中期四维彩超筛查诊断胎儿畸形的应用价值 段 琳 　　湖南旺旺医院 湖南长沙 410000 　　摘要：目的：对胎儿颈项透明层厚度（NT）超声检测联合孕中期四维彩超筛查诊断胎儿畸形的应用价值进行探讨。方法：选取2014年我院收治的500例孕中期孕妇作为研究对象，对其进行实时四维彩超检测，并对其检测结果进行分析；在此基础上对这500例患者进行胎儿颈项透明层厚度（NT值）超声检测。实时四维彩超检测的结果数据为A组，实时四维彩超联合胎儿颈项透明层厚度超声检测的结果数据为B组。对两组诊断数据进行分析对比。结果：这500例孕妇腹中的胎儿数量均为单胞胎。A组检测结果显示，共检出2例畸形胎儿，胎儿畸形检出率为0.4%；B组检测结果显示，共检出9例畸形胎儿，胎儿畸形检出率为1.8%，9例胎儿NT值gt;3.0mm。B组数据中的胎儿畸形检出率明显高于A组（chi;2=4.3040，P=0.038）。结论：相对于单纯的实时四维彩超检测，胎儿颈项透明层厚度（NT）超声检测联合孕中期四维彩超筛查诊断胎儿畸形，胎儿畸形检出率有显著性的提高，具有较高的临床价值。 　　关键词：胎儿颈项透明层厚度；四维彩超；胎儿畸形；诊断价值 　　abstract：purpose：neck transparent layer thickness on the fetus（NT）ultrasonic testing joint mid pregnancy four dimensional colour to exceed this paper discusses the application value of screening in the diagnosis of fetal abnormalities.Methods：choose 500 cases of our hospital in 2014 mid-term pregnancy pregnant women as the research object，carries on the real-time detection four dimensional colour to exceed，and analyzes the test results；On the basis of the 500 patients for fetal neck transparent layer thickness（NT）ultrasonic testing.Real-time data to the testing results of the four dimensional colour to exceed，group A real-time joint fetal neck four dimensional colour to exceed the transparent layer thickness for group B ultrasonic testing results of the data.Through the comparative analysis of two groups of diagnostic data.Results：500 cases of pregnant women the number of fetuses are single children.Detection，according to the results of group A were detected 2 cases of malformation fetus，fetal anomaly detection rate is 0.4%；Group B test results showed that a total of 9 cases of malformation fetus detection fetal anomaly detection rate was 1.8%，9 cases of fetal NT value gt; 3.0 mm.Group B data of fetal abnormalities was much higher than that of group A（chi-square = 4.3040，P = 4.3040）.Conclusion：compared with the pure real-time detection four dimensional colour to exceed，fetal neck transparent layer thickness（NT）ultrasonic testing joint