二维超声联合三维彩超对胎儿畸形筛查在基层医院的临床应用价值(1)
摘要：目的 探讨在基层医院开展二维超声联合三维彩超对胎儿畸形产前筛查的临床应用价值。方法 回顾分析我院2012年1月～2016年1月所有受检孕妇超声检查资料，所有孕妇均先进行单纯二维超声检查，然后二维超声与三维彩超联合应用检查，将筛查出的阳性例数进行比较，评价其各自诊断阳性率及符合率。结果 我院产科引产或分娩证实的畸形儿132例，其中由单纯二维超声检查筛查出的胎儿畸形有111例，诊断率为84.10%，由二维超声联合三维彩超检查筛查出的胎儿畸形有128例，诊断率为97.00%，二維超声联合三维彩超检查显著高于单纯二维超声，P<0.05，其差异具有统计学意义。结论 二维超声联合三维彩超检查是产前筛查胎儿畸形的首选方法。二维超声与三维彩超联合应用显著提高了胎儿畸形产前的检出率，对减少出生缺陷、优生优育具有重要意义。
关键词：二维超声联合三维彩超；胎儿畸形；基层医院应用价值
Clinical Application of Two-dimensional Ultrasound Combined with Three-dimensional Color Doppler Ultrasonography in the Screening of Fetal Malformations in Primary Hospital
, 百拇医药
YANG Zheng-fang1，WANG Xiu-hua2，ZHANG Hui-zhi1，GAO Ji-lian3
(1.Department of Function，Zitong County People's Hospital，Zitong 622150，Sichaun，China；
2.Department of Obstetrics and Gynecology， Mianyang Third People's Hospital，Mianyang 621000，Sichuan，China；
3.Department of Surgery，Zitong County People's Hospital，Zitong 622150，Sichaun，China)
Abstract：Objective To evaluate the clinical value of two-dimensional ultrasound combined with three-dimensional ultrasound for fetal malformation in prenatal screening in primary hospital.Methods All the pregnant women were examined by simple two-dimensional ultrasonography，and then the two-dimensional ultrasound combined with the three-dimensional color doppler ultrasonography was used to examine the quality of all the pregnant women in our hospital from January 2012 to January 2016.Positive cases were compared to evaluate their respective diagnostic positive rate and coincidence rate.Results 132 cases of deformity confirmed by maternity induction or childbirth in our hospital.Among them，111 cases of fetal malformation were diagnosed by simple two-dimensional ultrasonography，the diagnosis rate was 84.10%，and the fetus was screened by two-dimensional ultrasonography combined with three-dimensional ultrasonography were 128 malformations，the diagnostic rate was 97.00%.Two-dimensional ultrasonography combined with three-dimensional ultrasonography was significantly higher than that of simple two-dimensional ultrasonography，P<0.05，the difference was statistically significant.Conclusion Two-dimensional ultrasound combined with three-dimensional color doppler ultrasonography is the first choice for prenatal screening for fetal malformations.The combination of two-dimensional ultrasound and three- dimensional color doppler ultrasonography significantly improved the detection rate of prenatal fetal defect，which is of great significance to reduce birth defects and prenatal and postnatal care., 百拇医药(杨正芳 王秀华 张慧芝 高技连)
关键词：二维超声联合三维彩超；胎儿畸形；基层医院应用价值
Clinical Application of Two-dimensional Ultrasound Combined with Three-dimensional Color Doppler Ultrasonography in the Screening of Fetal Malformations in Primary Hospital
, 百拇医药
YANG Zheng-fang1，WANG Xiu-hua2，ZHANG Hui-zhi1，GAO Ji-lian3
(1.Department of Function，Zitong County People's Hospital，Zitong 622150，Sichaun，China；
2.Department of Obstetrics and Gynecology， Mianyang Third People's Hospital，Mianyang 621000，Sichuan，China；
3.Department of Surgery，Zitong County People's Hospital，Zitong 622150，Sichaun，China)
Abstract：Objective To evaluate the clinical value of two-dimensional ultrasound combined with three-dimensional ultrasound for fetal malformation in prenatal screening in primary hospital.Methods All the pregnant women were examined by simple two-dimensional ultrasonography，and then the two-dimensional ultrasound combined with the three-dimensional color doppler ultrasonography was used to examine the quality of all the pregnant women in our hospital from January 2012 to January 2016.Positive cases were compared to evaluate their respective diagnostic positive rate and coincidence rate.Results 132 cases of deformity confirmed by maternity induction or childbirth in our hospital.Among them，111 cases of fetal malformation were diagnosed by simple two-dimensional ultrasonography，the diagnosis rate was 84.10%，and the fetus was screened by two-dimensional ultrasonography combined with three-dimensional ultrasonography were 128 malformations，the diagnostic rate was 97.00%.Two-dimensional ultrasonography combined with three-dimensional ultrasonography was significantly higher than that of simple two-dimensional ultrasonography，P<0.05，the difference was statistically significant.Conclusion Two-dimensional ultrasound combined with three-dimensional color doppler ultrasonography is the first choice for prenatal screening for fetal malformations.The combination of two-dimensional ultrasound and three- dimensional color doppler ultrasonography significantly improved the detection rate of prenatal fetal defect，which is of great significance to reduce birth defects and prenatal and postnatal care., 百拇医药(杨正芳 王秀华 张慧芝 高技连)
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