顺序追踪联合彩色多普勒超声诊断胎儿畸形的研究  

Study on diagnosis of fetal malformation by sequential trackingcombined color Doppler ultrasonography

作　　者：马璠 李亚红 王玲芳 吴潇潇 褚希临 张英 MA Fan;LI Yahong;WANG Lingfang;WU Xiaoxiao;CHU Xilin;ZHANG Ying(Gynecology and Obstetrics Ultrasound Room of Ultrasound Department,Yuxi People's Hospital/Sixth Affiliated Hospital of Kunming Medical University,Yuxi Yunnan 653100,China;Ultrasound Department,Yuxi Second People's Hospital,Yuxi Yunnan 653100,China;Ultrasound Department,Yuxi Third People's Hospital,Yuxi Yunnan 653100,China;Acupuncture and Massage Department,Yuxi Traditional Chinese Medicine Hospital,Yuxi Yunnan 653100,China)

机构地区：[1]玉溪市人民医院/昆明医科大学第六附属医院超声科妇产超声室,云南玉溪653100 [2]玉溪市第二人民医院超声科,云南玉溪653100 [3]玉溪市第三人民医院超声科,云南玉溪653100 [4]玉溪市中医医院针灸推拿科,云南玉溪633100

出　　处：《云南医药》2024年第4期39-43,共5页Medicine and Pharmacy of Yunnan

基　　金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目[2017FE467(-147)]。

摘　　要：目的探讨连续顺序追踪超声联合彩色多普勒超声诊断产前胎儿肢体畸形的优势。方法将329名孕妇为研究对象,均接受连续顺序追踪超声检查和彩色多普勒超声检查,以胎儿出生及引产结果的金标准为依据,对比分析连续顺序追踪超声检查和彩色多普勒超声检查两者分别诊断胎儿肢体畸形的灵敏度与两者联合诊断的灵敏度和差异。结果连续顺序追踪超声联合彩色多普勒超声诊断产前胎儿肢体畸形的准确度、灵敏度、特异度、阳性预测值均高于任何一种单一超声诊断方式,差异有统计学意义(P<0.05)。结论彩色多普勒联合连续顺序追踪超声与胎儿出生及引产结果一致(Kappa=0.85)。提示连续顺序追踪超声联合彩色多普勒超声用于诊断产前胎儿肢体畸形,优于单一超声法诊断。Objective To explore the advantages of continuous sequential tracking combined with color Doppler ultrasound in the diagnosis of prenatal fetal limb malformation.Methods In this paper,329 pregnant women were described as study subjects,all of them underwent continuous sequential tracking ultrasound and color Doppler ultrasound.Based on the gold standard of fetal birth and induced labor results,compared and analyzed examination sensitivity by continuous sequential tracking method and color Doppler ultrasound,respectively,and examination sensitivity and difference by continuous sequential tracking method combined with color Doppler ultrasound in the diagnosis of fetal limb malformation.Results The accuracy,sensitivity,specificity and positive predictive value of continuous sequential tracking method combined with color Doppler ultrasound in the diagnosis of fetal limb malformation were higher than any single ultrasonic diagnosis method,and the difference was statistically significant(P<0.05).High consistency between the results of color Doppler ultrasound combined with continuous sequential tracking method and fetal birth and induction of labor(Kappa-0.85).Conclusions It is suggested that continuous sequential tracking combined with color Doppler ultrasonography is superior to single ultrasonography in the diagnosis of prenatal fetal limb malformation.

关 键 词：胎儿肢体畸形 产前检查 连续顺序追踪超声 彩色多普勒超声 灵敏度 

分 类 号：R446.1[医药卫生—诊断学] R714.5[医药卫生—临床医学]