高频彩色多普勒超声联合常规超声诊断早孕期胎儿发育异常的价值研究  

Study on the Value of High Frequency Color Doppler Ultrasound Combined with Routine Ultrasound in Diagnosing Fetal Development Abnormality in Early Pregnancy

作　　者：曾雪玲[1] 康丽华 黄凤娟 吴淑珠[1] ZENG Xue-ling;KANG Li-hua;HUANG Feng-juan;WU Shu-zhu(Function Department of Maoming Maternal and Child Health Care Hospital,Guangdong Maoming 525000)

机构地区：[1]茂名市妇幼保健院功能科,广东茂名525000

出　　处：《中国医疗器械信息》2022年第24期10-12,31,共4页China Medical Device Information

基　　金：茂名市科技计划项目(项目编号:200420104550919)。

摘　　要：目的:分析早孕期采用高频彩色多普勒超声联合常规超声诊断的价值。方法:筛选300例早孕期孕妇作为研究对象,300例孕妇均选自2019年1月~2021年1月,并按随机法分为2组(每组150例),对照组采用常规超声诊断,观察组在对照组基础上采用高频彩色多普勒超声诊断,以分娩及随访结果为金标准,对比2组检出率、阳性率、准确率、漏诊率、误诊率,诊断效能。结果:以分娩及随访结果为金标准,观察组检出NT增厚17例(11.33%)、水囊瘤7例(4.67%)、鼻骨缺失3例(1.00%)、肢体异常2例(0.66%)、无脑儿1例(0.33%)、脐膨出1例(0.33%)、脐部囊肿1例(0.33%)、腹裂1例(0.33%)、内脏反位1例(0.33%)、开放性脊柱裂1例(0.33%)、膈疝1例(0.33%)、全前脑1例(0.33%)、心脏异常1例(0.33%)、脑膨出1例(0.33%)、脉络膜囊肿1例(0.33%),检出率(26.67%)高于对照组(14.67%),χ^(2)=6.587,P<0.05;阳性率(26.67%)、准确率(97.33%)高于对照组,漏诊率(1.33%)、误诊率低于对照组,χ^(2)=6.587、7.714、4.225、4.054,P<0.05;观察组灵敏度(95.00%)高于对照组(78.27%),χ^(2)=9.443,P<0.05;特异度对比无差异。结论:选择高频彩色多普勒超声联合常规超声对早孕期胎儿发育异常进行诊断准确率较高,亦可降低误诊及漏诊率,提高诊断灵敏度,值得参考。Objective:To analyze the value of high-frequency color Doppler ultrasound combined with routine ultrasound diagnosis in the first trimester.Methods:300 pregnant women in the first trimester were selected as the research object.The 300 pregnant women were selected from the interval from January 2019 to January 2021 and divided into 2 groups(150 cases in each group)according to the"random method".The control group used conventional ultrasound For diagnosis,the observation group used high-frequency color Doppler ultrasound on the basis of the control group.The delivery and follow-up results were used as the gold standard to compare the detection rate,positive rate,accuracy rate,missed diagnosis rate,misdiagnosis rate,and diagnostic efficiency of the two groups.Results:With delivery and follow-up results as the gold standard,In the observation group,17 cases of NT thickening(11.33%),7 cases of hydrocystoma(4.67%),3 cases of nasal bone loss(1.00%),2 cases of limb abnormality(0.66%),1 case of anencephaly(0.33%),1 case of omphalocele(0.33%),1 case of umbilical cyst(0.33%),1 case of gastroschisis(0.33%),and 1 case of visceral inversion were detected(0.33%),1 case of open spina bifida(0.33%),1 case of diaphragmatic hernia(0.33%),1 case of whole forebrain(0.33%),1 case of cardiac abnormality(0.33%),1 case of encephalocele(0.33%),1 case of choroid cyst(0.33%),the detection rate(26.67%)was higher than that of the control group(14.67%),χ^(2)=6.587,P<0.05;The positive rate(26.67%)and accurate rate(97.33%)were higher than those in the control group,while the missed diagnosis rate(1.33%)and misdiagnosis rate were lower than those in the control group,χ^(2)=6.587,7.714,4.225,4.054,P<0.05.The sensitivity of observation group(95.00%)was higher than that of control group(78.27%),χ^(2)=9.443,P<0.05.There was no difference in specificity.Conclusion:Choosing high-frequency color Doppler ultrasound combined with conventional ultrasound to diagnose fetal dysplasia in early pregnancy has a higher accuracy rate,and can also reduce the r

关 键 词：高频彩色多普勒超声 常规超声 诊断 早孕期 胎儿发育异常 生长发育情况 

分 类 号：R445.1[医药卫生—影像医学与核医学]