三维超声在胎儿脊髓、脊柱发育状况评估中的应用  

Application of three-dimensional ultrasound in assessing the development of fetal spinal cord and spine

作　　者：刘满荣[1] 张巍[1] 赵晓英[1] 李晓 曾荣安 黄健源 LIU Manrong;ZHANG Wei;ZHAO Xiaoying;LI Xiao;ZENG Rongan;HUANG Jianyuan(Department of Ultrasound,the Second Nanning People's Hospital,Nanning 530031,China;Department of Ultrasound,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]南宁市第二人民医院超声科,广西南宁530031 [2]广西医科大学第一附属医院超声科,广西南宁530021

出　　处：《中国医学物理学杂志》2021年第4期452-455,共4页Chinese Journal of Medical Physics

基　　金：广西医药卫生科研课题(Z20180586)。

摘　　要：目的:分析三维超声在胎儿脊髓、脊柱发育状况评估中的应用价值,为产前胎儿畸形筛查提供诊断依据。方法:回顾2012年7月至2020年4月在南宁市第二人民医院行产前三维超声检查的孕妇41 222例,其中单胎孕妇40 281,双胎孕妇941例,获取超声三维容积数据,统计脊髓、脊柱发育异常的超声检出率。结果:41 222例孕妇经引产或产后MRI、超声证实82例胎儿脊髓、脊柱发育异常,三维超声检出异常77例。结论:三维超声能准确评估胎儿脊髓、脊柱发育状况,发育异常筛查率较高,可为产前诊断及处置提供诊断依据。Objective To analyze the application value of three-dimensional ultrasound in the assessment of the development of fetal spinal cord and spine,thereby providing a diagnostic basis for prenatal fetal malformation screening.Methods The three-dimensional volumetric data of 41222 pregnant women,including 40281 singleton pregnant women and 941 twinpregnant women,who underwent three-dimensional ultrasound examination in the Second Nanning People's Hospital from July 2012 to April 2020 were obtained.The detection rates of ultrasound in developmental anomalies of spinal cord and spine were statistically analyzed.Results Of the 41222 pregnant women,82 had developmental anomalies of fetal spinal cord and spine which were confirmed by induced labor or postpartum MRI and ultrasound.A total of 77 cases with developmental anomalies were found by three-dimensional ultrasound.Conclusion Three-dimensional ultrasound can accurately assess the development of fetal spinal cord and spine,with a high screening rate of developmental anomalies,which can provide a diagnostic basis for prenatal diagnosis and clinical management.

关 键 词：三维超声 胎儿 脊髓 脊柱 发育 产前诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]