摘要
目的观察和分析四维彩超在产前诊断胎儿畸形的临床价值。方法方便选取该院2016—2017年进行四维彩超检查的孕妇,诊断随访32例发育异常胎儿,并对胎儿进行常规二维超声检查,对疑似发育异常的胎儿采取3D成像和记录的检测手段,采集胎儿立体和运动图像等检测数据,获得形态及行为学影像资料,存入工作站,检查完后自然回放图像与四维彩超图像对比,据此做出诊断。结果发现胎儿畸形32例45处,二维超声诊断与产后诊断相符的有33处(符合率73.3%),四维彩超诊断43处(符合率95.6%),两者比较差异有统计学意义(P<0.05)。结论通过四维彩超能够实时直观地显示胎儿各部位解剖结构的动态三维立体图像,比传统的二维超声提供更丰富的图像信息,值得临床推广应用。
Objective To observe and analyze the clinical value of four-dimensional color Doppler in screening of fetal malformation before delivery. Methods Convenient selection the delivery women with four-dimensional color Doppler examination in our hospital from 2016 to 2017 were selected and 32 cases of fetuses with abnormal growth were followed up, and the fetuses were given the routine two dimensional ultrasound examination, and the fetuses suspected with abnormal growth adopted the 3D imaging and the test means were recorded and the shape and behavior were obtained and stored into the work station, after examination, the image was naturally replayed and compared with the four-dimensional color Doppler images. Results Of 32 cases of fetuses, there were 45 fetal malformations, and the coincidence rate of two dimensional ultrasound diagnosis and postpartum diagnosis was 73.3%（33）, and the coincidence rate of two dimensional ultrasound diagnosis and four-dimensional color Doppler examination was 95.6%（43）, and the difference was Statistically sighificaont（P〈0.05）. Conclusion The four-dimensional color Doppler can show the dynamic three-dimensional stereo-picture of fetal anatomic structure in various sites in real time, which can provide richer image information compared with those of the traditional two-dimensional ultrasound, and it is worth clinical promotion and application.
出处
《中外医疗》
2017年第17期193-194,198,共3页
China & Foreign Medical Treatment
关键词
四维彩超成像
诊断
胎儿畸形
Four-dimensional color Doppler imaging
Diagnosis
Fetal malformation
