摘要
目的分析比较宫内异常早期妊娠应用常规超声与经腹高频超声诊断的临床价值。方法选取40例行产前超声检查的宫内异常妊娠孕妇,其均进行常规超声检查和经腹高频超声检查,对比两种检查方式的诊断效果。结果 40例孕妇实施经腹高频超声检查,共37例诊断为宫内异常早期妊娠,其中12例胎儿颈项透明层(NT)增厚,4例脐膨出,4例水肿,4例颈部水囊瘤,2例双胎胸腹联体,2例单脐动脉,2例露脑畸形,2例脉络膜囊肿,5例静脉导管a波倒置。常规超声检查共诊断出宫内异常早期妊娠30例,其中NT增厚12例、脐膨出2例、水肿3例、颈部水囊瘤3例、双胎胸腹联体1例、单脐动脉2例、静脉导管a波倒置4例、露脑畸形1例、脉络膜囊肿2例。高频超声检查的诊断率92.5%(37/40)高于常规超声的75.0%(30/40),比较差异具有统计学意义(P<0.05)。结论与常规超声检查相比,经腹高频超声诊断宫内异常早期妊娠的准确率更高,有助于减少漏诊、误诊,且操作简便,孕妇易于接受。
Objective To analyze and compare clinical value by conventional ultrasound andtransabdominal high frequency ultrasound in diagnosis of abnormal early intrauterine pregnancy.Methods Therewere40pregnant women with abnormal intrauterine pregnancy receiving prenatal ultrasound examination,andthey all received conventional ultrasound examination and transabdominal high frequency ultrasound examination.Diagnostic effects by the two examination measures were compared.Results Transabdominal high frequencyultrasound examination for the40pregnant women showed37cases with abnormal early intrauterine pregnancy,including12cases with thickening nuchal translucency(NT),4cases with acromphalus,4cases with edema,4cases with hygroma colli,2cases with thoracoabdominal conjoined twins,2cases with single umbilical artery,2cases with exencephaly,2cases with choroid plexus cyst,and5cases with venous duct a wave inversion.Conventional ultrasound examination showed30cases with abnormal early intrauterine pregnancy,including12with thickening NT,2cases with acromphalus,3cases with edema,3cases with hygroma colli,1case withthoracoabdominal conjoined twins,2cases with single umbilical artery,4cases with venous duct a wave inversion,1case with exencephaly,and2cases choroid plexus cyst.High frequency ultrasound examination showed higherdiagnosis rate as92.5%(37/40)than75.0%(30/40)by conventional ultrasound,and their difference had statisticalsignificance(P<0.05).Conclusion Comparing conventional ultrasound examination,transabdominal highfrequency ultrasound shows high accuracy rate in diagnosis of abnormal early intrauterine pregnancy.This method is helpful for reducing missed diagnosis and misdiagnosis,along with easy operation,and it is easily tolerable forpatients.
作者
张桃桃
刘娟
李祝有
叶丽平
卢诗雅
ZHANG Tao-tao;LIU Juan;LI Zhu-you(Department of Ultrasound, Guangdong Dongguan City Hengli Hospital, Dongguan 523460, China)
出处
《中国现代药物应用》
2017年第9期34-35,共2页
Chinese Journal of Modern Drug Application
基金
市社会科技发展(一般)项目(项目编号:201750715038197)
关键词
高频超声
宫内异常早期妊娠
常规超声
诊断价值
High frequency ultrasound
Abnormal early intrauterine pregnancy
Conventional ultrasound
Diagnostic value
