四维彩超联合系统B超在胎儿先天性畸形筛查中价值分析

doi:10.3969/j.issn.1006-6233.2018.08.029

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Abstract Objective: To investigate the value of B-ultrasound in the screening of fetal congenital malformations by four-dimensional ultrasonography. Methods: 780 pregnant women who underwent physical examination in our hospital from January 2016 to January 2017 were selected as study subjects. All pregnant women was used four-dimensional color ultrasound and system B-ultrasound for the checking of fetal congenital malformations. The accuracy, sensitivity, and specificity of the two methods was compared. Results: The results of labor induction/delivery was used as the gold standard, there were 18 malformation fetuses in 780 newborns, the accuracy rate of four-dimensional ultrasonography was 94.44% (17/18), the accuracy of system B-ultrasound was 66.67% (12/18),and the difference between the two groups was statistically significant (P<0.05); The sensitivity of the two examination methods was the same, both being 100.00%. The specificity of the system B-ultrasound was 99.28%, and the specificity of the color Doppler ultrasound was 99.87%; Misdiagnosis analysis found that four-dimensional color Doppler ultrasound by pregnancy time, fetal position and amniotic fluid content greater impact, the system B-ultrasound detection accuracy lower but can be used during early pregnancy; Conclusion: The four dimensional color Doppler ultrasound and the system B ultrasound have high accuracy and sensitivity in fetal congenital malformation screening, but the two detection methods have certain defects. The combined detection method can improve the accuracy of detection, and the effect is better.

Key words： Four-dimensional ultrasound System B ultrasound Congenital malformations

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.08.029 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I8/1339

[1] 文桂琼.产前彩超诊断胎儿各类畸形的流行病学调查研究[J].中国生育健康杂志,2015,26(1):86~88.
[2] 薛芳,董娟,段明英.济南市胎儿先天性心脏病的流行状况[J].中国妇幼保健,2012,27(7):1033~1034.
[3] 袁平,向兴敏.黔南地区胎儿畸形原因分析及超声诊断价值[J].中国初级卫生保健,2016,30(2):42~43.
[4] Aboellail M A M, Kanenishi K, Tenkumo C, et al. Diagnosis of truncus arteriosus in first trimester of pregnancy using transvaginal four-dimensional color Doppler ultrasound[J]. Ultrasound in Obstetrics & Gynecology, 2015, 45(6):759~760.
[5] 卫炜,靳小英,魏晓光,等.B超检查将正常胎儿误诊为胎儿畸形10例原因分析[J].临床误诊误治,2013,26(4):98~99.
[6] 毛利萍.四维彩超在产科胎儿畸形筛查中的应用分析[J].河南医学研究,2016,25(6):985~986.
[7] 李迎春.四维彩超对胎儿畸形及智力发育的诊断价值研究[J].海南医学院学报,2016,22(3):303~305.
[8] Han W, Xie M, Wang Y. P09.08: The value of the ductus arteriosus in fetal congenital heart disease: evaluation by echocardiography combined with cardiovascular cast technology[J]. Ultrasound in Obstetrics & Gynecology, 2015, 46(1):153~153.
[9] Wiechec M, Anna K, Nocun A, et al. How effective is ultrasound-based screening for trisomy 18 without the addition of biochemistry at the time of late first trimester[J]. Journal of Perinatal Medicine, 2016, 44(2):149~159.
[10] Volpe P, Contro E, Fanelli T, et al. Appearance of fetal posterior fossa at 11-14 weeks in fetuses with Dandy-Walker malformation or chromosomal anomalies[J]. Ultrasound in Obstetrics & Gynecology, 2016, 47(6):720~725.
[11] Happerts S, Foucault A, Billiard J S, et al. Combined hepatocellular‐cholangiocarcinoma in a patient with Abernethy malformation and Tetralogy of Fallot-A case report[J]. Hepatology, 2016, 64(5):1800~1802.
[12] Melo A S, Aguiar R S, Amorim M M, et al. Congenital Zika Virus Infection: Beyond Neonatal Microcephaly[J]. Jama Neurology, 2016, 73(12):1407~1416.