本文選題：2D + 4D��； 參考：《山西醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的： 探討二維超聲聯(lián)合四維超聲在診斷胎兒唇腭裂的應(yīng)用價(jià)值，進(jìn)一步提高胎兒唇腭裂畸形的超聲檢出率，為唇腭裂畸形的診斷、預(yù)后提供更多參考價(jià)值。 方法： 使用GEV olusonE8彩色多普勒超聲診斷儀，2D探頭頻率2.0-5.0MHz，4D探頭頻率2.0-8.0MHz，支持4D模式。2012年1月至2014年3月在山西大醫(yī)院婦產(chǎn)科彩超室行產(chǎn)前二維超聲檢查后疑似唇腭裂胎兒49例，聯(lián)合四維超聲進(jìn)一步檢查，根據(jù)二維和四維圖像信息分別對唇腭裂的類型、部位、分度進(jìn)行診斷記錄，1-3月內(nèi)隨訪患者。 結(jié)果： 49例唇腭裂胎兒，單純唇裂14例，2D超聲確診13例，檢出率92.8%，4D超聲確診14例，檢出率100%。唇腭裂35例，其中唇裂合并完全性腭裂33例，2D超聲確診23例，檢出率69.6%，4D超聲確診25例，檢出率75.7%；唇裂合并不完全性腭裂胎兒2例，2D及4D均未檢出。37例單側(cè)唇腭裂，2D誤診5例，4D誤診3例，12例非單側(cè)唇腭裂，，2D誤診7例，4D誤診1例。 結(jié)論： 1．2D聯(lián)合4D對診斷唇腭裂畸形較2D超聲具有更大優(yōu)勢。 2．2D超聲對單純唇裂和唇裂合并完全性腭裂的診斷相差無幾，聯(lián)合4D后對唇裂合并完全性腭裂的診斷準(zhǔn)確度顯著提高。 3．2D超聲和4D超聲對唇裂并不完全腭裂的診斷尚缺乏足夠的證據(jù)，應(yīng)用超聲其他模式進(jìn)行診斷可行進(jìn)一步研究。
[Abstract]:Objective: to explore the value of two-dimensional ultrasound combined with four-dimensional ultrasound in the diagnosis of fetal cleft lip and palate, and to improve the detection rate of fetal cleft lip and palate. Methods: using GEV oluson E8 color Doppler ultrasound diagnostic instrument, the frequency of 2D probe was 2.0-5.0MHzn 4D, which supported 4D mode. From January 2012 to March 2014, 2-D prenatal ultrasound was performed in the color Doppler room of gynecology and obstetrics and gynecology and obstetrics of Shanxi Great Hospital. After ultrasonic examination, 49 cases of suspected cleft lip and palate fetus, According to the information of two-dimensional and four-dimensional images, the type, location and grading of cleft lip and palate were followed up within 1-3 months. Results: 49 cases of fetal cleft lip and palate, 14 cases of simple cleft lip and 14 cases of cleft lip were diagnosed by 2D ultrasound in 13 cases. The detection rate was 92. 8% and 14 cases were diagnosed by ultrasonography, and the detection rate was 100%. Among the 35 cases of cleft lip and palate, 23 cases were diagnosed by 2D ultrasonography in 33 cases of cleft lip and complete cleft palate, and 25 cases were diagnosed by 69.6 D ultrasound. The detection rate was 75.7%, 2 cases of fetal cleft lip with incomplete cleft palate were not detected in 2D and 4D. 37 cases of 2D misdiagnosis of unilateral cleft lip and palate in 5 cases were misdiagnosed in 3 cases and 12 cases of 2D misdiagnosis of non-unilateral cleft lip and palate in 7 cases of 4D misdiagnosed 1 case. Conclusion: 1. 2D combined with 4D pair misdiagnosis. 2. The diagnosis of cleft lip and cleft lip with complete cleft palate is similar to that of simple cleft lip and cleft lip with complete cleft palate. The diagnostic accuracy of cleft lip combined with complete cleft palate was significantly improved after combined with 4D. The diagnosis of cleft lip cleft palate with 3. 2D and 4 D ultrasound was not enough evidence. It was feasible to further study the diagnosis of cleft lip cleft palate by other modes of ultrasound.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R445.1;R782.2

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本文編號：1984162