彩色多普勒超声联合二维超声和三维超声TUI对胎儿唇腭裂畸形的临床诊断  

Joint Two-dimensional Ultrasound and Color Doppler Ultrasound 3d Ultrasound TUI Clinical Diagnosis of Fetal Cleft Lip and Palate Deformities

作　　者：杨君梅[1] 马晓芹[1] 张春云[1] 王瑶[1] 

机构地区：[1]广东省惠州市第三人民医院,广东惠州516002

出　　处：《中国医学创新》2016年第28期52-55,共4页Medical Innovation of China

摘　　要：目的:探讨对胎儿唇腭裂畸形应用彩色多普勒超声联合二维超声和三维超声TUI技术进行诊断的临床意义。方法:回顾性分析2015年5月-2016年5月本院产科分娩的60例唇腭裂畸形患儿的临床资料,所有患儿在出生前均进行彩色多普勒超声联合二维超声检测、彩色多普勒超声联合二维超声和三维超声TUI技术诊断,分析和总结胎儿唇腭裂畸形在超声诊断中的图像特征,并比较两种诊断方案与产后实际结果的符合率。结果:60例患儿引产4例,自然分娩56例,其中唇裂16例,Ⅰ度3例,Ⅱ度7例,Ⅲ度6例;腭裂7例,Ⅰ度2例,Ⅱ度3例,Ⅲ度2例;唇腭裂37例,Ⅰ度9例,Ⅱ度17例,Ⅲ度11例。彩色多普勒超声联合二维超声检测准确诊断47例,其中唇裂10例,腭裂5例,唇腭裂32例,准确诊断率为78.33%,误诊2例,漏诊11例;彩色多普勒超声联合二维超声和三维超声TUI技术准确诊断58例,其中唇裂15例,腭裂6例,唇腭裂37例,准确诊断率为96.67%,漏诊2例。超声图像显示唇连线部位有不连续或者中断的回声,二维超声显示鼻部呈"三角形",三维超声显示呈"兔唇",鼻部扭曲,舌尖可以从鼻腔处伸出来、牙槽弓弧度消失。结论:彩色多普勒超声联合二维超声和三维超声TUI技术可以准确的诊断出胎儿唇腭裂畸形,丰富影像学信息,对产前胎儿唇腭裂畸形诊断具有较高的临床应用价值。Objective： To explore the application of fetal cleft lip and palate malformation joint two- dimensional ultrasound and color Doppler ultrasound 3 d ultrasound technology TUI diagnosis of clinical significance.Method： From May 2015 to May 2016 obstetric delivery in our clinical data of 60 children with cleft lip and palate deformities were analyzed retrospective, all children before birth to joint two-dimensional color Doppler ultrasonic ultrasonic testing joint two-dimensional ultrasound and color Doppler flow imaging, the technology of three-dimensional ultrasound TUI diagnosis, analysis and summarize the diagnosis of fetal cleft lip and palate deformities in ultrasonic image characteristics, two joint diagnosis scheme and actual results the coincidence rate of postpartum were observed.Result： 4 cases of induced labor, 56 cases of natural childbirth.16 cases with cleft lip, 3 cases were I degree, 7 cases wereⅡ degree, 6 cases were Ⅱ degree; 7 cases with cleft palate, 2 cases were Ⅰ degree, 3 cases were Ⅱ degree, 2 cases were Ⅲ degree; 37 cases with cleft lip and palate, 9 cases were Ⅰ degree, 17 cases wereⅡ degree, 11 cases were Ⅲ degree.Joint two-dimensional color, Doppler ultrasonic ultrasonic testing accurate diagnosis of 47 cases, including 10 cases of cleft lip and 5 cases of cleft palate, 32 cases of cleft lip and palate, accurate diagnostic rate was 78.33%, 2 cases of misdiagnosis and 11 cases missed diagnosis.Joint two-dimensional ultrasound and color, Doppler ultrasound 3 d ultrasound technology TUI accurate diagnosis of 58 cases, 15 cases of cleft lip and 6 cases of cleft palate, 37 cases of cleft lip and palate, accurate diagnostic rate was 96.67%, 2 cases of misdiagnosis.Ultrasound images with discontinuous display lip lines or interrupt the echo of the two-dimensional ultrasound shows the nose showed ＂triangle＂, the three dimensional ultrasound showed a cleft lip, nasal distortion, the tip of the tongue sticking out from the nasal cavity, alveolar arch radian disappear.Conc

关 键 词：胎儿唇腭裂畸形 彩色多普勒超声 二维超声 三维超声TUI技术 

分 类 号：R445.1[医药卫生—影像医学与核医学]