摘要
目的探讨四维彩超在胎儿先天性畸形中的诊断价值。方法随机观察我院2012年1月至2014年1月孕中晚期孕妇1200例产前常规超声检查结果，所有孕妇均进行了二维超声和四维超声检查，并随访至产后1个月，比较二维超声和四维超声诊断胎儿先天性畸形的准确性。结果经产后临床证实，共发现先天性胎儿畸形34例，其中神经管畸形10例，心脏畸形8例，唇腭裂7例，泌尿系畸形3例，四肢畸形3例，腹部畸形1例，其他2例。四维超声检出畸形31例，与产后符合率91．17％；漏诊3例，其中多指畸形1例，脊柱裂2例。二维超声检出畸形26例，符合率76．47％；漏诊8例，其中唇腭裂2例，多指畸形2例，脊柱裂3例，足内翻1例。二维和四维超声的诊断符合率比较差异具有统计学意义（P〈0．05）。结论四维超声更能多方位、多切面观察胎儿宫内发育情况，对诊断胎儿体表畸形具有更直观和准确的判断，具有较高的临床价值。
Objective To investigate the diagnostic value of four-dimensional （ 4D ） color Doppler ultrasound examination in prenatal screening of fetal malformation. Methods 1200 pregnant women were observed and detected by four-dimensional color Doppler and two dimensional ultrasound. The results were compared with the results confirmed by clinical pathology. Results 34 cases were detected with congenital defects; among which, 10 got defects in nervous system, 8 heart deformity, 7 cheilopalatognathus, 3 urinary tract malformation, 3 limb deformity, 1 abdominal deformity, and the other 2 cases. 31 cases were detected with deformity by four-dimensional color Doppler, with a postpartum coincidence rate of 91.17%; and 3 cases were misdiagnosed, of which 1 case had polydactyly deformity and 2 cases spina bifida. 26 cases were detected with deformity by two-dimensional ultrasony, with a postpartum coincidence rate of 76.47%; and 8 cases were misdiagnosed, of which 2 cases had cleft lip and palate, 2 case polydactyly deformity, 3 cases spina bifida, and 1 cases strephenopodia. There were statistical differences between the two methods （P 〈 0.05 ） . Conclusions Four-dimensional color Doppler can multi-dimensionally and multi-sectionly observe the abnormal development of fetus and has high clinical value for surface deformity fetus and a more intuitive and accurate judgment.
出处
《国际医药卫生导报》
2014年第24期3801-3803,共3页
International Medicine and Health Guidance News
关键词
四维彩超
胎儿
先天性畸形
Four-dimensional color Doppler ultrasound
Fetus
Congenital malformation
