产前胎儿畸形筛查中四维彩超的应用效果分析

Analysis of the Effect of the Application of Four-dimensional Color Doppler Ultrasound in Prenatal Screening of Fetal Malformation

目的探讨产前胎儿畸形筛查中四维彩超的应用效果。方法方便选取2013年1月—2016年2月在该院进行产前筛查的2 200例中晚期孕妇作为研究对象,分别对其进行二维彩超及四维彩超检查,根据胎儿出生后情况或引产结果对二维彩超及四维彩超的检出率进行比较。结果二维彩超对胎儿畸形的检出率为76.92%(40/52),四维彩超对胎儿畸形的检出率为96.15%(50/52),四维彩超对胎儿畸形的检出率明显高于二维彩超(P<0.01)。结论与二维彩超相比,四维彩超在胎儿畸形检出方面具有明显优势,值得临床推广应用。

Objective To investigate the application effect of four dimensional color Doppler ultrasound in prenatal screen-ing of fetal malformation. Methods 2 200 cases of advanced pregnant women from January 2013 to February 2016 in our hospital were selected as research subjects. Two dimensional color Doppler ultrasound and four-dimensional color Doppler ultrasound examination were carried out on them. According to the results of the fetus after birth or induction of labor, the detection rate of two-dimensional color Doppler ultrasound and four-dimensional color Doppler ultrasound were compared. Results The detection rate of two-dimensional color Doppler ultrasound for fetal malformation was 76.92%（40/52）, while that of four-dimensional color Doppler ultrasound was 96.15%（50/52）. Thus the detection rate of four-dimensional color Doppler ultrasound was obviously higher than that of two-dimensional color Doppler ultrasound（P﹤0.01）. Conclusion Com-pared with two-dimensional ultrasound, four-dimensional color Doppler ultrasound in the detection of fetal abnormalities has obvious advantages, which is worth clinical application.