| 干书文,曹引丽,席如如,亢 云,侯小霞.系统和四维超声对胎儿器质性异常筛检价值分析[J].,2020,(21):4130-4133 |
| 系统和四维超声对胎儿器质性异常筛检价值分析 |
| The Value of Systematic and Four-dimensional Ultrasound in Screening Fetal Organic Abnormalities |
| 投稿时间：2020-02-23 修订日期：2020-03-18 |
| DOI：10.13241/j.cnki.pmb.2020.21.029 |
| 中文关键词: 系统超声 四维超声 胎儿器质性异常 筛检 |
| 英文关键词: System ultrasound Four-dimensional ultrasound Fetal organic abnormality Screening |
| 基金项目:中国疾病预防控制中心妇幼保健中心科研项目（2019FYH009） |
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| 中文摘要: |
| 摘要 目的：探究系统及四维超声在胎儿器质性异常筛选中的应用价值。方法：回顾性分析2018年3月至2019年3月于我院接受检查的887例中晚期产妇超声检测资料，所有产妇均行系统及四维超声检测，对比系统超声、四维超声和联合检测在胎儿器质性异常筛查中的特异性、敏感性和准确性，分析上述检查方式对不同胎儿器质性异常筛查的价值。结果：（1）887例产妇共娩出899例胎儿，其中87例存在器质性异常，异常率9.68 %（87/899），联合检测对器质性异常检出率为94.25 %（82/87），系统超声检出率为68.97 %（60/87），四维超声检出率为79.31 %（69/87），联合检测明显优于单独检测（P<0.05）；（2）系统超声检测一致性为96.05 %，灵敏度为70.59 %，特异度为98.54 %，四维超声一致性为96.47 %，灵敏度为75.40 %，特异度为98.54 %，联合检测一致性为99.57%，灵敏度为96.26 %，特异度为99.90 %，对比发现联合检测一致性、灵敏度均优于单独检测。结论：系统及四维超声对胎儿器质性异常具有较好的筛查效果，联合检测筛查效果优于单独检测。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the application value of system and four-dimensional ultrasound in screening fetal organic abnormalities. Methods: A retrospective analysis of 887 cases of middle and late stage parturients who were examined in our hospital from March 2018 to March 2019 was made. All parturients underwent systematic and four-dimensional ultrasound examination. The specificity, sensitivity and accuracy of systematic ultrasound, four-dimensional ultrasound and joint examination in the screening of fetal organic abnormality were compared, and the effects of the above examination methods on different fetal functions and organic characteristics were analyzed The value of abnormal screening. Results: (1) 899 fetuses were delivered by 887 parturients, of which 87 had organic abnormalities, the rate of which was 9.68 % (87/899), 94.25 % (82/87), 68.97 % (60/87) and 79.31 % (69/87) respectively. The results showed that the consistency and sensitivity of combined detection were 96.05 %, 70.59 %, 98.54 %, 96.47 %, 75.40 %, 98.54 %, 99.57 %, 96.26 % and 99.90 %, respectively (P<0.05). Conclusion: The System and four-dimensional ultrasound have a better screening effect on fetal organic abnormalities, and the combined detection is better than the single detection. |
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