| 二维和三维超声表面成像及断层显像技术对胎儿唇腭裂的诊断 |
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| 引用本文： | 马亚楠,刘纯红,向红.二维和三维超声表面成像及断层显像技术对胎儿唇腭裂的诊断[J].中国全科医学,2011,14(36). |
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| 作者姓名： | 马亚楠 刘纯红 向红 |
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| 作者单位： | 1. 新疆医科大学第一附属医院妇产超声科,新疆乌鲁木齐市,830054
2. 新疆医科大学第二附属医院超声科 |
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| 摘 要： | 目的应用三维超声技术,寻求诊断唇腭裂的方法。方法选取2009年4月—2010年10月进行二维及三维超声检查的6 558例孕妇。对二维和三维超声的结果与产后结果进行比较,并对胎儿唇腭裂的超声声像图进行回顾性分析。结果 6 558例孕妇中,失访231例,有正常产或引产结果者6 327例,已证实有唇腭裂者34例,其中单纯性唇裂23例,唇腭裂11例。二维超声诊断单纯性唇裂的灵敏度为0.9130、特异度为0.9998、阳性预测值为0.9545;三维表面成像诊断单纯性唇裂的灵敏度为1.0000、特异度为0.9998、阳性预测值为0.9583,两种方法诊断单纯性唇裂的价值间差异无统计学意义(P>0.05)。二维超声诊断腭裂和唇腭裂的灵敏度为0.3636、特异度为1.0、阳性预测值为1.0,三维超声诊断腭裂和唇腭裂的灵敏度为0.9091、特异度为1.0、阳性预测值为1.0,两种方法诊断腭裂和唇腭裂的价值间差异有统计学意义(P<0.05)。结论三维表面成像与二维超声比较,能够反映胎儿颜面畸形的表面形态、细节特征,对唇裂的诊断更加直观。断层超声显像能显示胎儿各个方向上的断层图像,在一定程度上能提高胎儿腭裂的检出率。
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| 关 键 词： | 唇裂 腭裂 二维超声 三维超声 断层超声显像技术 诊断 |
Two-Dimensional and Three-Dimensional Ultrasound Surface Imaging and Tomography the Diagnosis of Fetal Cleft |
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| MA Ya-Nan,LIU Chun-hong,XIANG Hong.Two-Dimensional and Three-Dimensional Ultrasound Surface Imaging and Tomography the Diagnosis of Fetal Cleft[J].Chinese General Practice,2011,14(36). |
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| Authors: | MA Ya-Nan LIU Chun-hong XIANG Hong |
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| Institution: | MA Ya-Nan,LIU Chun-hong,XIANG Hong.Department of Gynecological Ultrasound,Xinjiang Medical University First Affiliated Hospital,Urumuqi 830054,China |
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| Abstract: | Objective To use 3D ultrasonic technology,seek diagnosis cleft and evaluation method of jaws complete or not.Methods From April 2009 to 2010 October,2D/3D ultrasound 6 558 cases of pregnant women.For 2D and 3D ultrasound results compared with postpartum,and the images were retrospectively analyzed.Results In 6 558 cases,lost to pregnant women in 231 cases,had the normal production of 6 327 cases.The results of induced labor had confirmed the cleft lip and palate,34 patients.Two-dimensional ultrasound diagno... |
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| Keywords: | Cleft lip Cleft palate Two-dimensional ultrasound Three-dimensional ultrasound Tomographic ultrasound imaging technology Diagnosis |
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