四维彩超对胎儿畸形的诊断价值分析
周紫玲
（陕西省宝鸡市岐山县中医医院，陕西 宝鸡，722400）
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摘要：
目的 探讨四维彩超检查在胎儿畸形诊断中的应用价值。方法 回顾性分析我院2013年3月至2016年10月均行四维彩超检查和二维超声检查的920例妊娠妇女的临床资料，孕妇孕周为19～27 周，分析四维彩超检查和二维超声检查对胎儿畸形筛查的符合率及两种检测方法的敏感度和特异度。结果 二维超声诊断符合率为63.3%（19/30），低于四维超声诊断的90.0%（27/30）（X2=19.865，P=0.000）；两组特异度相同，四维超声诊断敏感度明显高于二维超声（P<0.05）。结论 四维彩超检查在胎儿畸形诊断中的敏感度高，与二维超声比较，可大大减少漏诊发生，提高诊断准确率。
关键词：四维彩超；二维超声；胎儿畸形
中图分类号：R445.1文献标志码：A文章编号：2096-1413(2017)16-0142-02
Diagnosis value analysis of four-dimensional ultrasound for fetal abnormalities
ZHOU Zi-ling
(Traditional Chinese Medical Hospital of Qishan County, Baoji 722400, China)
ABSTRACT: Objective To investigate diagnosis value of four -dimensional ultrasound for fetal abnormalities. Methods Clinical data of 920 cases pregnant women (19-27 gestational weeks) in our hospital from March 2013 to October 2016 were retrospectively analyzed, and all cases received four-dimensional colour and two-dimensional ultrasound examination, the accuracy, sensitivity and specific degrees between the two examination methods were analyzed. Results The accuracy rate of two-dimensional diagnosis was 63.3% (19/30), which was lower than 90.0% of four-dimensional ultrasound (27/30), the difference had statistical significance ( X2=19.865, P=0.000); two groups had the same specific degree, the sensitivity of four -dimensional ultrasound was higher than that of the two -dimensional ultrasound. Conclusion Four -dimensional ultrasound has a higher sensitivity than two -dimensional ultrasound in the diagnosis of fetal abnormalities, and it can prevent misdiagnosis, improve the diagnostic accuracy.
KEYWORDS: four-dimensions; two-dimensional ultrasound; fetal malformation
参考文献：
[1] 黄晓波.产前超声检查对降低先天性缺陷婴儿出生率的作用[J].中国实用医药,2015,10(18):273-274.
[2] 肖鸽飞,孟小军,胡玲玲,等.孕妇叶酸代谢相关基因与胎儿先天缺陷的相关性研究[J].中国医师杂志,2016,18(7):1021-1024.
[3] 钱敏,郑蓉,翟林,等.产前超声筛查先天性心脏缺陷的临床体会[J].中华临床医师杂志:电子版,2016,40(14):2093-2096.
[4] 吴国超.二维联合四维超声对诊断胎儿畸形的临床应用[D].合肥:安徽医科大学,2016.
[5] 高红莲,蒋荷娟.四维超声在胎儿心脏畸形诊断中的应用[J].河北联合大学学报:医学版,2013,15(6):792-793.
[6] 张雪梅,牛铭钢.胎儿先天畸形的筛查[C]//东北三省妇产科学术会议,2008.
[7] 丁海耀,周文蓉.二维联合四维超声检查在先天性心脏畸形胎儿产前诊断中的应用[J].山东医药,2016,56(20):63-64.
[8] 陈桂荣,甘柏柳,周霓,等.实时四维彩超在产科胎儿畸形诊断中的应用价值[J].现代医药卫生,2008,24(14):2117-2119.
[9] 李颖.四维彩超在诊断胎儿畸形中的应用价值探讨[J].北方药学,2011,8(9):49.
[10] 钱美娟,马新群.四维彩超在诊断胎儿畸形中的应用价值[J].实用临床医药杂志,2011,15(15):37-39.