连续顺序追踪超声法对胎儿骨骼肢体畸形的诊断价值分析

Analysis of the Value of Systematic Continuous Sequence Ultrasonic Approach in the Diagnosis of Fetal Skeletal and Limb Deformities

目的:探讨连续顺序追踪超声法(SCSA)对胎儿骨骼肢体畸形的诊断价值。方法:对2017年4月-2020年4月于本院进行孕早期超声检查的60例孕妇临床资料进行回顾性分析,均疑似为胎儿畸形,所有孕妇均行连续顺序追踪超声法及传统超声检查,评价超声诊断结果。结果:SCSA法检出胎儿骨骼畸形共53例,其中肢体缺失22例,手指畸形15例,桡骨缺失8例,致死性骨发育不良8例,传统超声检出37例,分别检出12、13、5、7例,SCSA法对胎儿骨骼肢体畸形检出率为88.33%,明显较传统超声的61.67%更高(P<0.05);本组60例疑似胎儿骨骼畸形经临床随访确诊为胎儿骨骼畸形54例,家属均接受终止妊娠,SCSA诊断准确率、敏感度分别为91.67%、94.44%,明显较传统超声的58.33%、61.11%更高(P<0.05)。结论:连续顺序追踪超声法在胎儿骨骼肢体畸形诊断中准确率较高,利于提高诊断效能,值得应用。

Objective:To explore the diagnostic value of systematic continuous sequence approach(SCSA)in fetal skeletal and limb malformations.Method:The clinical data of 60 pregnant women who underwent ultrasound examination in our hospital from April 2017 to April 2020 were analyzed retrospectively.All pregnant women were suspected of fetal malformation.All pregnant women were performed systematic continuous sequence approach and traditional ultrasound examination to evaluate the results of ultrasound diagnosis.Result:A total of 53 cases of fetal skeletal malformations were detected by SCSA,including 22 cases of limb loss,15 cases of finger deformity,8 cases of radius loss,8 cases of fatal bone dysplasia,37 cases of traditional ultrasound,12 cases,13 cases,5 cases,7 cases,respectively.The detection rate of fetal skeletal and limb malformations by SCSA was 88.33%,significantly higher than 61.67%by traditional ultrasound(P<0.05);54 cases of fetal skeletal malformation were confirmed by clinical follow-up.All the family members accepted termination of pregnancy.The accuracy,sensitivity of SCSA were 91.67%,94.44%,respectively,which was significantly higher than 58.33%,61.11%of traditional ultrasound(P<0.05).Conclusion:Systematic continuous sequence approach has a high accuracy in the diagnosis of fetal skeletal and limb deformity,which is beneficial to improve the diagnosis efficiency and is worth applying.