摘要
目的:探讨腹部超声联合阴道超声在孕早期胎儿畸形中的诊断效能。方法:选取265例行胎儿畸形诊断的孕早期孕妇为研究对象,均行腹部超声、阴道超声,以产后或引产结果为“金标准”,比较腹部超声、阴道超声单项及联合检查诊断胎儿畸形的效能,以及心血管、体表、四肢、其他部位畸形检出率。结果:金标准结果为265例孕妇经产后或引产证实畸形胎儿42例,其中心血管畸形17例、体表畸形10例、四肢畸形12例、其他类型畸形3例;腹部超声诊断孕早期畸形胎儿24例;阴道超声诊断孕早期畸形胎儿28例;腹部超声联合阴道超声诊断孕早期畸形胎儿39例;腹部超声联合阴道超声诊断孕早期畸形胎儿的灵敏感、准确度均高于两者单项检查,漏诊率明显低于两者单项检查,差异有统计学意义(P<0.05);腹部超声联合阴道超声孕对早期胎儿心血管畸形的检出率明显高于腹部超声单项检查,四肢畸形检出率明显高于两者单项检查,差异有统计学意义(P<0.05)。结论:腹部超声联合阴道超声诊断孕早期畸形胎儿的效能高于两者单项检查。
Objective:To explore application efficacy of abdominal ultrasonography combined with vaginal ultrasonography in diagnosis of fetal malformations during early pregnancy.Methods:265 pregnant women during the early pregnancy who accepted the fetal malformation screening were selected as the research subjects,and all of them underwent abdominal ultrasonography and vaginal ultrasonography.Using the postpartum results or the labor induction results as the“gold standard”,the efficacies of single abdominal ultrasonography,single vaginal ultrasonography and the combined diagnosing were compared.Then,the detection rates of cardiovascular,body surface,limb,and other malformations were compared.Results:The gold standard results showed that among the 265 pregnant women,42 malformation fetuses were confirmed by postpartum or induced labor,including 17 cases of cardiovascular malformations,10 cases of body surface malformations,12 cases of limb malformations,and 3 cases of other types of malformations.Among which,24 cases were diagnosed by abdominal ultrasonography,28 cases by vaginal ultrasonography,while 39 case by abdominal ultrasonography combined with vaginal ultrasonography.The sensitivity and accuracy of abdominal ultrasonography combined with vaginal ultrasonography were higher than those of two single examinations;the missed diagnosis rate of malformation fetuses during the early pregnancy was significantly lower than two single examinations;and the differences were statistically significant(P<0.05).Further,the detection rate of fetal cardiovascular malformations of abdominal ultrasonography combined with vaginal ultrasonography were significantly higher than single abdominal ultrasonography;the detection rate of limb malformations was significantly higher than the two single examinations;and the differences were statistically significant(P<0.05).Conclusions:Abdominal ultrasonography combined with transvaginal ultrasonography is more effective in the diagnosis of malformation fetuses during the early pregnancy than
作者
郭艳丽
GUO Yanli(Ultrasound Department of Wen County Maternal and Child Health Hospital,Wen County 454850 Henan,China)
出处
《中国民康医学》
2022年第4期134-136,共3页
Medical Journal of Chinese People’s Health
关键词
腹部超声
阴道超声
检查
诊断
孕早期
胎儿畸形
检出率
Abdominal ultrasound
Vaginal ultrasound
Examination
Diagnosis
Early pregnancy
Fetal malformation
Detection rate
