四维彩超在妊娠期胎儿先天畸形检查中的应用分析

Analysis of Application of Four-dimensional Color Ultrasound in the Examination of Fatal Congenital Deformity during Pregnancy

目的讨论妊娠期采用四维彩色超声技术对胎儿先天性畸形进行筛查的临床价值。方法抽取2015年7月—2017年7月该院收治的在引产和分娩之后证实为存在胎儿先天性畸形问题的产妇74例,将其平均分为对照组和研究组,每组37例。对照组在孕期采用常规二维超声技术进行检查;研究组在孕期采用四维彩色超声技术进行检查。对比两组孕期检查结果与引产和分娩证实结果的符合率、孕期影像学检查操作时间、误诊和漏诊例数。结果研究组孕期检查结果与引产和分娩证实结果的符合率达到97.2%,高于对照组的73.0%,差异有统计学意义(P<0.05);孕期影像学检查操作时间短于对照组,差异有统计学意义(P<0.05);误诊和漏诊例数少于对照组,差异有统计学意义(P<0.05)。结论妊娠期采用四维彩色超声技术对胎儿先天性畸形进行筛查,可以及时发现胎儿畸形,保证人口出生质量。

Objective To discuss the clinical value of four-dimensional color ultrasound in the examination of fatal congenital deformity during pregnancy.Methods 74 cases of delivery women with fatal congenital deformity after the induced labor and delivery admitted and treated in our hospital from July 2015 to July 2017 and divided into two groups with 37 cases in each,the control group adopted the routine two-dimensional ultrasound technology for examination during pregnancy,while the research group adopted the four-dimensional color ultrasound technology for examination during pregnancy,and the examination results and coincidence rate of induced labor and delivery confirmed results,imaging examination operation time during pregnancy,misdiagnosis and missed diagnosis cases were compared between the two groups.Results The coincidence rate of examination results during pregnancy and induced labor and delivery confirmed results reached 97.2%,which was higher than that in the control group(73.0%),and the difference was statistically siginficant(P<0.05);the imaging examination operation time during pregnancy was shorter than that in the control group,and the difference was statistically siginficant(P<0.05);and the case numbers of misdiagnosis and missed diagnosis were lower than those in the control group,and the differences were statistically siginficant(P<0.05).Conclusion The four-dimensional color ultrasound technology during pregnancy for screening can discover the fetal anomaly in time and ensure the child bearing quality.