三维超声在胎儿产前检查中的临床应用价值

Three-dimensional ultrasound in fetal antenatal examination of clinical application value

目的:探析三维超声在胎儿产前检查中的临床应用价值。方法:将320例存在高危因素的中孕期孕妇影像学资料展开回顾性分析,本组孕妇均行三维超声表面、多平面、透明等成像技术扫描检测,观察本组检查效果。结果:320例产妇中,获得理想三维超声图像者304例(95.0%),未获得理想三维超声图像者16例(5.0%);经产后证实与尸检证实胎儿结构异常者41例(12.81%),其中表现为体表畸形者28例,占比率68.29%,内脏畸形者22例,占比率53.66%;经三维超声确诊分别为63.41%(26)、43.90%(18),体表与内脏疾病诊断效果差异具有统计学意义(P<0.05)。结论:三维超声应用于胎儿产前检查中确可取得较好效果,有助于提升胎儿结构显示清晰度,对畸形部位与周边关系准确表达,其中又以体表畸形方面更为突出,具有较高临床应用价值。

Objective The clinical value of three-dimensional ultrasound in fetal prenatal care. Methods From April 2015 to July 2017 in our hospital from 320 cases of high-risk pregnant women in the imaging data were analyzed retrospectively, the pregnant women underwent three-dimensional ultrasound surface, multi planar, transparent imaging techniques such as scanning detection to observe the effect of the group, examination. Results 320 cases of pregnant women, 304 cases of ideal 3 D ultrasound images were(95%), 16 cases did not obtain ideal 3 D ultrasound images(5%); by confirmed with autopsy confirmed fetal structural abnormalities in 41 cases(12.81%), which showed 28 cases of malformations, accounted for 68.29%, 22 cases of visceral malformations, accounted for 53.66%; 63.41% were diagnosed by three-dimensional ultrasound(26), 43.90%(18), the difference was statistically significant superficial and visceral disease diagnosis effect(P < 0.05). Conclusion The application of three-dimensional ultrasound in fetal prenatal care can achieve better effect, helps to enhance the display resolution of the fetal structure, accurate expression of the relationship between deformity and surrounding the body surface deformity is more prominent, has high clinical application value.