三维能量超声联合彩色频谱多普勒超声对胎儿宫内窘迫的诊断价值  

The diagnostic value of three-dimensional energy ultrasound combined with color spectrum Doppler ultrasound for fe⁃tal intrauterine distress

作　　者：孙蔚静 王文娟 宋俊芳 于明 SUN Weijing;WANG Wenjuan;SONG Junfang;YU Ming(Department of Ultrasound,Jiangsu Xuzhou Medical University Affiliated Lianyungang Dongfang Hospital,Lianyungang 222042,China)

机构地区：[1]江苏省徐州医科大学附属连云港东方医院超声科,江苏连云港222042

出　　处：《医学影像学杂志》2024年第7期97-100,共4页Journal of Medical Imaging

基　　金：江苏省中医药科技发展计划项目(编号:MS2021064)。

摘　　要：目的 探讨三维能量超声联合彩色多普勒超声检查对胎儿宫内窘迫的评估意义。方法 选取妊娠大于28周孕妇宫内缺氧的30例胎儿作为观察组,另选50例正常胎儿作为正常对照组,分别测量两组胎儿大脑中动脉(MCA)、脐动脉(UA)、孕妇左侧子宫动脉(LUA)的胎儿脐动脉收缩压与舒张压的比值(S/D)、血流灌注指数(PI)、血管阻力指数(RI)值以及胎盘三维能量多普勒血管化指数(VI)、血流指数(FI)、血管化血流指数(VFI),组间及组内进行对照分析。将产后结果作为对照,对比分析三维能量超声、彩色频谱多普勒超声诊断符合率。结果 观察组大脑中动脉S/D、PI、RI测值低于对照组,子宫动脉、脐动脉S/D、PI、RI测值高于对照组,差异有统计学意义(P<0.05);观察组胎盘VI、FI、VFI测值低于对照组,差异有统计学意义(P<0.05);彩色频谱多普勒超声确诊24例,三维能量超声确诊29例,对比差异有统计学意义(P<0.05),联合检查结果与产后结果完全一致。结论 三维能量超声测值评估胎儿宫内窘迫的灵敏度略高于彩色频谱多普勒超声测值,二者联合可提升评估准确性。Objective To explore the significance of three-dimensional energy ultrasound combined with spectral Doppler ul‐trasound measurement in evaluating fetal intrauterine distress.Methods Pregnant women with gestational age greater than 28 weeks from December 2022 to January 2024 in our hospital were selected.Intrauterine hypoxia fetuses were classified as the ob‐servation group(30 cases),while normal fetuses were selected as the normal control group(50 cases).The S/D,PI,RI values of the middle cerebral artery(MCA),umbilical artery(UA),left uterine artery(LUA)of the two groups of fetuses were measured,as well as the three-dimensional energy Doppler vascularization index(VI),blood flow index(FI),and vascularization blood flow index(VFI)of the placenta.Comparative analysis was conducted between groups and within groups.Using the output results as a comparison,we compared and analyzed the diagnostic accuracy of three-dimensional energy ultrasound and spectral Doppler ul‐trasound.Results The MCAS/D,PI,and RI values in the observation group were lower than those in the control group,while the UA、LUAS/D,PI,and RI values were higher than those in the control group,with statistical significance(P<0.05);The VI,FI and VFI values in the observation group were lower than those in the control group,and the difference was statistically signifi‐cant(P<0.05);24 cases were diagnosed by spectral Doppler ultrasound(diagnostic accuracy rate of 80.00%),and 29 cases were diagnosed by three-dimensional energy ultrasound(diagnostic accuracy rate of 96.67%),with statistically significant differences in comparison(χ2=4.043,P<0.05),the joint inspection results were completely consistent with the output results.Conclusion The sensitivity of three-dimensional energy ultrasound measurement in evaluating fetal intrauterine distress is slightly higher than that of spectral Doppler ultrasound measurement,and the combination of the two can improve the accuracy of the evaluation.

关 键 词：三维能量超声 频谱多普勒超声测值 胎儿宫内窘迫 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]