三维、四维超声筛查胎儿唇裂的临床价值比较及四维超声筛查的最佳孕周探讨  

Comparison of clinical values of three-dimensional and four-dimensional ultrasound in screening fetal cleft lip and discussion on the best gestational week of four-dimensional ultrasound screening

作　　者：张静[1] 马进[1] ZHANG Jing;MA Jin(Ultrasound Department,the People's Hospital of Baoji,Baoji 721000,China)

机构地区：[1]宝鸡市人民医院超声科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2021年第24期123-125,共3页Clinical Research and Practice

摘　　要：目的比较三维、四维超声筛查胎儿唇裂的临床价值,探讨四维超声筛查的最佳孕周。方法给予5000例高危妊娠孕妇三维、四维超声检查。以最终诊断结果为参照,比较三维、四维超声对胎儿唇裂的诊断效能。比较不同孕周胎儿的四维超声图像满意度及唇裂检出率。结果四维超声诊断胎儿唇裂的灵敏度、特异度、准确度、阳性预测值及阴性预测值均高于三维超声(P<0.05)。四维超声与最终诊断结果之间呈高度一致;三维超声与最终诊断结果之间呈中度一致。四维超声对Ⅰ度唇裂的诊断符合率高于三维超声,差异具有统计学意义(P<0.05)。孕22~25周胎儿的四维超声图像满意度最高;不同孕周四维超声对胎儿唇裂的检出率无显著差异(P>0.05)。结论四维超声对胎儿唇裂的诊断价值优于三维超声,可对胎儿唇裂予以灵敏、准确检出,以孕22~25周的四维超声图像质量最优,建议在孕22~25周采用四维超声对胎儿唇裂进行筛查。Objective To compare the clinical values of three-dimensional and four-dimensional ultrasound in screening fetal cleft lip,and to discuss the best gestational week of four-dimensional ultrasound screening.Methods A total of 5000 high-risk pregnant women were given three-dimensional and four-dimensional ultrasound examinations.The efficacy of three-dimensional and four-dimensional ultrasound in the diagnosis of fetal cleft lip was compared based on the final diagnostic results.The satisfaction of four-dimensional ultrasound images and the detection rate of cleft lip of fetuses at different gestational weeks were compared.Results The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of four-dimensional ultrasound in the diagnosis of fetal cleft lip were higher than those of three-dimensional ultrasound(P<0.05).There was a high consistency between four-dimensional ultrasound and the final diagnostic results;there was moderate consistency between three-dimensional ultrasound and the final diagnostic results.The diagnostic coincidence rate of four-dimensional ultrasound inⅠdegree cleft lip was higher than that of three-dimensional ultrasound,and the difference was statistically significant(P<0.05).The satisfaction of four-dimensional ultrasound image of fetus at 22-25 weeks of gestation was the highest;there was no significant difference in the detection rate of fetal cleft lip by four-dimensional ultrasound at different gestational weeks(P>0.05).Conclusion The four-dimensional ultrasound has better diagnostic value for fetal cleft lip compared with three-dimensional ultrasound,and it can detect fetal cleft lip sensitively and accurately.The image quality of four-dimensional ultrasound at 22-25 weeks of gestation is the best.It is suggested to screen fetal cleft lip by four-dimensional ultrasound at 22-25 weeks of gestation.

关 键 词：胎儿唇裂 产前筛查 四维超声 

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]