本文選題：妊娠初期　切入點(diǎn)：孕婦　出處：《重慶醫(yī)學(xué)》2015年23期 　論文類型：期刊論文

【摘要】：目的探究應(yīng)用新技術(shù)對(duì)早孕期胎兒嚴(yán)重肢體畸形產(chǎn)前超聲診斷價(jià)值。方法選擇早孕期檢查的孕婦5 843例初步篩選出147例疑似胎兒畸形,依次應(yīng)用常規(guī)超聲檢查和連續(xù)順序追蹤超聲法進(jìn)行檢查,并將常規(guī)超聲檢查結(jié)果記為對(duì)照組,連續(xù)順序追蹤超聲法檢查結(jié)果記為觀察組。對(duì)比兩種方法對(duì)早孕期胎兒肢體畸形的診斷結(jié)果,包括準(zhǔn)確率、敏感性、特異性以及陽(yáng)性預(yù)測(cè)值、陰性預(yù)測(cè)值等。結(jié)果經(jīng)產(chǎn)后或臨床結(jié)果得到肢體畸形胎兒為40例,占27.21%。觀察組在對(duì)肢體缺失和其他肢體畸形檢出率達(dá)到100%(14/14)和65.00%(13/20),顯著高于對(duì)照組的50.00%(7/14)和5.00%(1/20)。但觀察組在對(duì)手指畸形的檢查未表現(xiàn)出優(yōu)勢(shì)。觀察組檢查的準(zhǔn)確度、敏感性與陰性預(yù)測(cè)值為91.84%、70.00%、89.92%,均高于對(duì)照組的78.91%、22.50%、77.54%,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論應(yīng)用連續(xù)順序追蹤超聲法對(duì)早孕期胎兒肢體畸形的檢查準(zhǔn)確度高,為產(chǎn)前診斷以及后期胎兒處理提供了充足的時(shí)間。
[Abstract]:Objective to explore the value of new technique in prenatal ultrasound diagnosis of severe fetal limb malformations in early pregnancy. Methods 5843 pregnant women with early pregnancy were selected and 147 suspected fetal deformities were selected. The results of routine ultrasound examination and continuous sequential tracking ultrasound were recorded as the control group. The results of continuous sequential tracking ultrasound were recorded as observation group. The diagnostic results of the two methods for fetal limb deformity in early pregnancy were compared, including accuracy, sensitivity, specificity and positive predictive value. Results by postpartum or clinical results, 40 cases of extremity malformation were obtained. 27.21. The detectable rate of missing limbs and other deformities in the observation group was 100% 14 / 14) and 65.00% 13 / 20%, which was significantly higher than that in the control group (50.007 / 14) and 5.00% 20%. However, the observation group had no advantage in the examination of finger deformities. The accuracy of the observation group was higher than that of the control group. The predictive value of sensitivity and negative value was 91.84 and 70.00000 / 89.92, which was higher than that of the control group (78.91 / 22.50g / 77.54), and the difference was statistically significant (P 0.05). Conclusion the accuracy of continuous sequential tracing ultrasound in the detection of fetal limb deformity in early pregnancy is higher than that in the control group (P < 0.05). It provides sufficient time for prenatal diagnosis and post-fetal treatment.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院婦科門診B超室;
【分類號(hào)】：R445.1;R714.5

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 劉滿榮;唐建華;駱?lè)?李鴻燕;陸惠堅(jiān);;超聲連續(xù)順序追蹤法在胎兒肢體畸形中的診斷價(jià)值[J];重慶醫(yī)學(xué);2013年32期

2 張曉慧;肖利軍;鄧旦;梁燕;廖明松;羅丹;;胎兒肢體畸形的產(chǎn)前超聲診斷分析[J];重慶醫(yī)學(xué);2014年10期

3 王莉;吳青青;陳焰;馬玉慶;姚苓;;標(biāo)準(zhǔn)化超聲切面篩查孕11~13~(+6)周胎兒結(jié)構(gòu)畸形的臨床意義[J];中華醫(yī)學(xué)超聲雜志(電子版);2014年01期

4 李國(guó)政;莊松巖;李智瑤;劉增強(qiáng);韓立波;;胎兒肢體及手足畸形產(chǎn)前超聲診斷及圖像分析[J];中華醫(yī)學(xué)超聲雜志(電子版);2014年01期

5 徐學(xué)翠;茹彤;楊嵐;;早孕期超聲規(guī)范化結(jié)構(gòu)篩查在胎兒四肢畸形診斷中的應(yīng)用[J];中華醫(yī)學(xué)超聲雜志(電子版);2014年04期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 華方明;葉軍;任苓;;早孕期胎兒結(jié)構(gòu)超聲影像規(guī)范檢查的研究與應(yīng)用[J];贛南醫(yī)學(xué)院學(xué)報(bào);2014年06期

2 游丹;;產(chǎn)前超聲對(duì)不同孕周胎兒畸形篩查的臨床觀察[J];中國(guó)計(jì)劃生育學(xué)雜志;2014年12期

3 楊燁;唐芳;尹向陽(yáng);張娣;吳偉雄;;產(chǎn)前超聲篩查漏診原因分析及對(duì)策探討[J];海南醫(yī)學(xué);2015年11期

4 淡禎桃;;胎兒肢體及手足畸形產(chǎn)前超生診斷及圖像分析[J];大家健康(學(xué)術(shù)版);2015年10期

5 佘玲娜;許桃英;劉利娜;黃淑嫻;陳荔艷;;產(chǎn)前超聲檢查診斷胎兒先天性畸形的價(jià)值[J];海南醫(yī)學(xué);2015年12期

6 馮娟;;超聲及染色體檢測(cè)在胎兒肢體畸形診斷中的應(yīng)用[J];中國(guó)民族民間醫(yī)藥;2015年12期

7 佘玲娜;許桃英;陳荔艷;黃淑嫻;劉利娜;;孕11～13~(+6)周產(chǎn)前超聲篩查胎兒嚴(yán)重結(jié)構(gòu)畸形的臨床意義[J];黑龍江醫(yī)學(xué);2015年07期

8 姜文清;;彩色多普勒超聲檢查在胎兒先天性畸形篩查中的價(jià)值[J];山東醫(yī)藥;2014年30期

9 惠華偉;;早孕期軟指標(biāo)陽(yáng)性對(duì)胎兒復(fù)雜性先天性心臟病的臨床評(píng)估價(jià)值[J];社區(qū)醫(yī)學(xué)雜志;2015年10期

10 李莉;;胎兒手畸形診斷中二維和實(shí)時(shí)三維超聲的臨床應(yīng)用[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2015年14期

相關(guān)會(huì)議論文 前1條

1 王慧;荊春麗;王麗e，

本文編號(hào)：1574346