二维彩超与四维超声成像技术在产科胎儿早期检查中应用诊断准确性对比研究  

Comparative Study on Diagnostic Accuracy of Two-Dimensional Color Doppler Ultrasound and Four-Dimensional Ultrasound Imaging in Early Obstetric Fetal Examination

作　　者：牛红艳 赵久付 NIU Hong-yan;ZHAO Jiu-fu(Department of Ultrasound,Binhai Hospital of Tianjin Medical University General Hospital,Tianjin 300480,China;Department of Radiology,Binhai Hospital of Tianjin Medical University General Hospital,Tianjin 300480,China)

机构地区：[1]天津医科大学总医院滨海医院超声科,天津300480 [2]天津医科大学总医院滨海医院放射科,天津300480

出　　处：《罕少疾病杂志》2023年第1期105-107,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨产科胎儿早期筛查中二维彩超及四维超声成像技术的诊断价值。方法以2016年10月至2021年8月在本院超声科接受产前检查的6134例孕妇为对象,分别对其开展二维超声检查及二维联合四维超声成像技术检查,对比两组诊断效果。结果经分娩/引产确诊阳性病例共计55例,含唇裂28例,单脐动脉20例,心脏疾病4例,其他畸形3例。二维联合四维超声总阳性检出率高于二维彩超,但对比差异不显著(P>0.05);二维联合四维超声诊断产科胎儿发育缺陷的特异度、灵敏度、准确性及阳性预测值均较单纯二维彩超高,对比差异明显(P<0.05)。结论二维联合四维超声成像技术能显著提高产科胎儿发育缺陷早期诊断准确率,同时能够提高整体诊断效能。Objective To explore the diagnostic value of two-dimensional color Doppler ultrasound and four-dimensional ultrasound in early fetal screening in obstetrics.Methods 6134 pregnant women who underwent prenatal examination in the ultrasound department of our hospital from October 2016 to August 2021 were selected as subjects.Two dimensional ultrasound and two-dimensional combined four-dimensional ultrasound imaging were performed respectively.The diagnostic effects of the two groups were compared.Results There were 55 positive cases confirmed by delivery/induction of labor,including 28 cases of cleft lip,20 cases of single umbilical artery,4 cases of heart disease and 3 cases of other malformations.The total positive rate of two-dimensional and four-dimensional ultrasound was higher than that of two-dimensional color ultrasound,but the difference was not significant(P>0.05);The specificity,sensitivity,accuracy and positive predictive value of two-dimensional combined with four-dimensional ultrasound in the diagnosis of obstetric fetal development defects were higher than those of two-dimensional color ultrasound alone,with significant difference(P<0.05).Conclusion two-dimensional combined with four-dimensional ultrasound imaging technology can significantly improve the accuracy of early diagnosis of obstetric fetal development defects,and can improve the overall diagnostic efficiency.

关 键 词：二维彩超 四维超声 产科 胎儿畸形 诊断准确性 

分 类 号：R246.3[医药卫生—针灸推拿学]