实时四维彩超在产前诊断胎儿畸形中应用.docVIP

实时四维彩超在产前诊断胎儿畸形中应用 　　【摘要】 目的：探?实时四维彩超成像技术在产前诊断胎儿是否存在畸形中的应用价值。方法：选取2013年1月-2015年10月笔者所在医院行四维超声产检的1207例孕妇，同时行二维及四维超声检查，对比二维彩超和四维彩超的检查结果，对产妇进行产后调查，统计超声检查结果是否与产后结果相符。结果：1207例产妇产后统计有62例胎儿体表68处畸形，其中仅有一处畸形56例，两处畸形6例。畸形主要集中在头面部、四肢，而躯干胸腹部畸形较少，本次研究中无论是二维超声还是四维超声，均只出现了漏诊并未出现误诊的情况，具体畸形分布如下：头面部畸形34处（50.00%），胸部畸形2处（2.94%），腹部畸形3处（4.41%），脊柱畸形7处（10.29%），四肢畸形22处（32.35%）。分布在头面部的胎儿畸形共34处，二维超声正确诊断出27处，诊断正确率为79.41%；四维超声正确诊断出34处，诊断正确率为100%，两者的诊断正确率比较结果差异有统计学意义（ 字2=7.803，P=0.005）。分布在胸部，腹部和脊柱的胎儿畸形共12处，二维超声正确诊断出7处，诊断正确率为58.33%；四维超声正确诊断出 　　12处，诊断正确率为100%，两者的诊断正确率比较结果差异有统计学意义（ 字2=6.316，P=0.012），分布在四肢的胎儿畸形共22处，其中二维超声正确诊断出7处，诊断正确率为31.81%；四维超声正确诊断出15处，诊断正确率为68.18%，两者的诊断正确率比较结果差异有统计学意义（ 字2=5.818，P=0.016）。结论：四维彩超在对前来产前检查的孕妇而言能够更好地显示胎儿实时图像，从四维立体的模式可以帮助超声医师更好地观察胎儿，从而做出精准的诊断。 　　【关键词】 实时四维； 彩超； 产前诊断； 胎儿畸形 　　【Abstract】 Objective：To investigate the application value of using the real-time 4D color Doppler ultrasound to prenatally diagnose of fetal malfoemation.Method：From January 2013 to October 2015，1207 cases of pregnant women in our hospital were tested by 2D and 4D ultrasound at the same time.The results of two types of ultrasonography were compared，the coherence of antenatal and postnatal examination were analysed.Result：In postpartum examination，62 fetuses of 1207 cases revealed 68 abnormalities in body surface，56 fetuses only had one deformity and 6 fetuses had two deformities，2D and 4D ultrasonography were used，deformity mainly occurred in the fetus head and face，limbs，while dysmorphosis of trunk chest or abdomen was rare.In this study，there were only some cases never diagnosis，but no misdiagnosis.The distribution of malformations was as follow：34 cases （50.00%） craniofacial deformities， 2 cases （2.94%）of thoracocyllosis，3 cases （4.41%）of abdominal abnormalities，7 cases （10.29%）of spinal deformity，22 cases （32.35%）of limb birth defects.After analysing 34 cases craniofacial deformities，2D ultrasonography diagnosed 27 cases （79.41%），while 34 deformities could all be diagnosed with 4D ultrasono