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分析  

Value Analysis of High-Frequency Color Doppler Ultrasound Combined with Conventional Ultrasound in Diagnosing Early Pregnancy Fetal Development Abnormalities

作　　者：田鹏 曹盼盼 罗莹莹[1] 张真真[1] 梁淑影 喻红霞[1] TIAN Peng;CAO Panpan;LUO Yingying;ZHANG Zhenzhen;LIANG Shuying;YU Hongxia(Department of Ultrasound,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450000,China)

机构地区：[1]郑州大学第二附属医院超声科,河南郑州450000

出　　处：《临床研究》2025年第1期127-129,共3页Clinical Research

摘　　要：目的探究早孕期胎儿发育异常诊断中,在常规超声的基础上联合应用高频彩色多普勒超声的价值。方法研究样本共计72例,均选取郑州大学第二附属医院超声科2022年6月至2024年3月期间收入的早孕期孕妇,依据随机数字表法将其分为研究组(n=36,高频彩色多普勒超声+常规超声)、对照组(n=36,常规超声),金标准为分娩以及随访结果,分析其在检出情况、诊断效能及漏诊差异。结果金标准检查结果为阳性15例(20.83%),阴性57例(79.17%),其中研究组阳性11例,阴性25例,对照组阳性4例,阴性32例。对照组使用常规超声检出阳性16例,阴性20例,研究组使用高频彩色多普勒超声联合常规超声检出阳性15例,阴性21例。研究组准确率、特异度均高于对照组,差异有统计学意义(P<0.05),研究组漏诊率显著低于对照组,差异有统计学意义(P<0.05)。结论常规超声联合高频彩色多普勒超声诊断早孕期胎儿发育异常能够显著提升临床检出以及诊断准确情况,降低漏诊率,整体临床应用价值较为理想,具有临床应用意义。Objective To explore the value of combining high-frequency color Doppler ultrasound with conventional ultrasound in the diagnosis of early pregnancy fetal development abnormalities.Methods A total of 72 early pregnant women were selected from the Department of Ultrasound at The Second Affiliated Hospital of Zhengzhou University between June 2022 and March 2024.They were randomly divided into a study group(n=36;high-frequency color Doppler ultrasound+conventional ultrasound)and a control group(n=36;conventional ultrasound),using delivery and follow-up results as the gold standard to analyze detection rates,diagnostic efficacy,and rates of missed diagnoses.Results The gold standard examination results indicated 15 positive cases(20.83%)and 57 negative cases(79.17%).In the study group,there were 11 positive and 25 negative cases,while the control group had 4 positive and 32 negative cases.The control group using conventional ultrasound detected 16 positive and 20 negative cases,while the study group using high-frequency color Doppler ultrasound combined with conventional ultrasound detected 15 positive and 21 negative cases.The accuracy and specificity of the study group were significantly higher than those of the control group,with statistically significant differences(P<0.05).The rate of missed diagnoses in the study group was significantly lower than that in the control group,with statistically significant differences(P<0.05).Conclusion The combination of conventional ultrasound and high-frequency color Doppler ultrasound significantly enhances the clinical detection and diagnostic accuracy of early pregnancy fetal development abnormalities while reducing the rate of missed diagnoses.This approach has substantial clinical application value and significance.

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 

分 类 号：R445.1[医药卫生—影像医学与核医学]