三维超声自由解剖成像新技术在诊断胎儿唇腭裂中的应用  

Clinical application of three-dimensional uitrasonography OmniView technology in the diagnosis of fetal cleft lip/palate

作　　者：沈小玲[1] 吕国荣[2] 吴淑芬[1] 陆志红[1] 杨舒萍[1] 

机构地区：[1]福建医科大学附属漳州市医院超声科,福建漳州363000 [2]泉州医学高等专科学校临床学院福建医科大学附属第二医院超声科

出　　处：《中华超声影像学杂志》2016年第2期155-158,共4页Chinese Journal of Ultrasonography

摘　　要：目的评价三维超声自由解剖成像（OmniView）技术在诊断胎儿唇腭裂中的应用价值。方法采集100例正常单胎妊娠胎儿及18例唇腭裂胎儿的唇腭部三维容积数据，应用OmniView技术进行后处理分析，并与二维超声进行对比，分别比较二维和三维超声OmniView技术对唇腭部不同切面的显示率及对唇腭裂畸形的诊断符合率。结果①OmniView技术对硬腭和软腭的显示率高于二维超声，显示率分别为64％～88％和30％～65%（均P〈0．05），且能对非平面的腭部进行曲面成像，显示腭的全景图。②二者对胎儿唇裂、牙槽突裂及腭裂的诊断符合率分别为89％～94％和78％～100％，差异无统计学意义（均P〉0.05）。结论三维超声0mniView技术可提高胎儿硬腭和软腭的显示率，应用该技术对存在腭裂风险的高危胎儿行后处理分析可能有助于确认腭裂。Objective To evaluate the application value of three-dimensional ultrasonography OmniView technology in diagnosis of fetal cleft lip/palate. Methods Three-dimensional volume data was acquired from 100 normal singleton fetuses and 18 cleft lip/palate fetuses, and was analysed by OmniView technology. Two-dimensional ultrasonography and three-dimensional OmniView technology were compared in the displaying rate of different planes of the lip and palate and the diagnosis accordance rate of cleft lip/ palate. Results （1）The displaying rate of the lip and palate of OmniView technology was higher than that of two-dimensional ultrasonography （the displaying rates were 64 % - 88 % and 30 % - 65 %, respectively, P〉 0.05）. Further more, the curved plane tiled imaging of palate was successfully reconstructed by OmniView technology, displaying the nonplanar panorama of the palate. （2）There was no significant difference in diagnosis accordance rate of fetal cleft lip/palate between two-dimensional ultrasonography and OmniView technology（the accordance rate was 89 % - 94 % and 78 % - 100 %, respectively, P 〉 0.05）. Conclusions Three-dimentional ultrasonography OmniView technology can improve the displaying rate of the hard and soft palate. The application of this technology in the fetuses who has a high risk of cleft palate may be beneficial to the diagnosis of cleft palate.

关 键 词：超声检查 三维 胎儿 唇裂 腭裂 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]