产前胎儿神经系统畸形彩超诊断的价值分析.docVIP

产前胎儿神经系统畸形彩超诊断的价值分析 ［摘要］目的探?产前胎儿神经系统畸形彩超诊断价值。方法选取 2013年3月?2015年12月我院产前检查诊治疑似为胎儿神经系统畸 形孕妇110作为研究对象，所有孕妇孕期分别采用普通B超和彩色超 声进行检查，以引产或分娩后诊断为“金标准”，比较两种超声检查灵 敏度、特异性及诊断阳性率、误诊率、漏诊率。结果110例孕妇经 引产或分娩后证实为胎儿神经系统畸形85例，发生率为77. 27%。普 通B超在产前胎儿神经系统畸形中诊断灵敏度为75.29%，特异性为 64. 00%o彩色超声在产前胎儿神经系统畸形中诊断灵敏度为91. 76%， 特异性为92. 00%o彩色超声在产前胎儿神经系统畸形中诊断阳性率高 于普通B超，误诊率和漏诊率均低于普通B超(70.91% vs. 58. 18%， 1.82% vs. 8. 18%，6.36% vs. 19. 09%, P〈0. 05)。结论彩色超声在产 前胎儿神经系统畸形中诊断具右较高灵敏度、特异性，可降低误诊、 漏诊发生率，提高阳性诊断率，可作为产前筛查胎儿神经系统畸形首 选辅助检奋方法。 本文采集自网络，本站发布的论文均是优质论文，供学和研宄 使用，文中立场与本网站无关，版权和著作权归原作者所有，如有不 愿意被转载的情况，请通知我们删除匕转载的信息，如果需要分享， 请保留本段说明。 ［关键浏］产刖；胎儿神经系统畸形；彩超诊断 ［中图分类号］R445. 1 ； R714.5 ［文献标识码］A ［文章编号］ 2095-0616 (2017) 09-143-03 The value of color Doppler ultrasound in prenatal diagnosis of fetal nervous system malformations LIAO Caihua LI Shuyun CHEN Luying Ultrasound Department of Luoding Maternal and Child Health-Care Hospital of Guangdong Province, Guangdong, Luoding 527200, China ［Abstract］ Objective To discuss the diagnostic value of color Doppler ultrasound in prenatal diagnosis of fetal nervous system malformations. Methods 110 cases with suspected fetal nervous system malformations dignosed by prenatal examination from Mar 2013 to Dec 2015 were selected as objects. All the pregnant women were examined by conventional ultrasound and color Doppler ultrasound. The diagnosist after induction of labor or delivery as gold standard ， the sensitivity ， specificity, diagnostic positive rate, misdiagnosis rate and missed diagnosis rate of two kinds of ultrasound were compared. Results 85 cases were been confirmed fetal nervous system malformations by after induction of labor or delivery in 100 cases, accouting for 77. 27%. The sensitivity of conventional ultrasound in prenatal diagnosis of fetal nervous system malformations was 75. 29%, and the specificity was 64. 00%. The sensitivity of color Doppler ultrasound in prenatal diagnosis of fetal nervous system malformations was 91. 76%, and the specificity was 92.00%. Diagnostic po