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目的:探讨三维超声成像技术在诊断胎儿脊柱裂的应用价值。方法:选取在我院妇产科进行产检的535例中晚期妊娠胎儿,对其进行二维超声成像技术诊断和三维超声成像技术诊断,对两种诊断方法的结果进行对比。结果:胎儿经过引产或者生产后确诊为脊柱裂39例,其中二维超声成像技术诊断胎儿脊柱裂误诊2例,漏诊1例,三维超声成像技术诊断胎儿脊柱裂误诊1例,漏诊0例,二维超声成像技术诊断准度率明显低于三维超声成像技术,P<0.05。;三维超声成像技术诊断胎儿脊柱裂38例,其中合并柠檬头13例(34.21%),合并香蕉小脑17例(44.74%),合并颅后窝池消失8例(21.05%)。结论:三维超声成像技术具有清晰、直观的特点,能够准确显示胎儿脊柱真实形态,并有效诊断合并症状,临床推广意义显著。
Objective: To explore the value of three-dimensional ultrasound imaging in the diagnosis of fetal spina bifida. Methods: A total of 535 cases of fetuses of middle and late pregnancy who underwent gynecological examination in our hospital were diagnosed by two-dimensional ultrasonography and three-dimensional ultrasonography. The results of two diagnostic methods were compared. Results: The fetus was diagnosed as spina bifida after induced labor or production. There were 2 cases diagnosed as misdiagnosis of fetal spina bifida in 2 cases, 1 case of misdiagnosis, 1 case of misdiagnosis of fetal spina bifida as diagnosed by two - dimensional echocardiography, 0 case of misdiagnosis, Dimensional ultrasound imaging diagnostic accuracy rate was significantly lower than the three-dimensional ultrasound imaging technology, P <0.05. Thirty-eight cases of fetal spina bifida were diagnosed by three-dimensional ultrasonography. Among them, 13 cases (34.21%) were combined with lemon head, 17 cases (44.74%) were combined with banana cerebellum, and 8 cases (21.05%) disappeared after combined with cranial fossa. Conclusion: Three-dimensional ultrasound imaging has clear and intuitive features, can accurately display the true shape of the fetal spine, and effective diagnosis of comorbid symptoms, clinical significance of significant.