| 王 云,王西林,赵淑华,宋婷婷,金 鑫.超声颅脑冠状切面鼻尖偏斜法与常规超声
对早期胎儿颜面部畸形的诊断价值对比[J].,2024,(23):4502-4505 |
| 超声颅脑冠状切面鼻尖偏斜法与常规超声
对早期胎儿颜面部畸形的诊断价值对比 |
| 超声颅脑冠状切面鼻尖偏斜法与常规超声对早期胎儿颜面部畸形的诊断价值对比 |
| 投稿时间：2024-03-13 修订日期：2024-04-16 |
| DOI：10.13241/j.cnki.pmb.2024.23.027 |
| 中文关键词: 颅脑冠状切面鼻尖偏斜法 常规超声 胎儿颜面部畸形 诊断效能 |
| 英文关键词: Diagnostic Value of Ultrasonic Craniocerebral Coronal Section Nasal Tip Deviation Method Conventional ultrasound Fetal facial deformities Diagnostic efficacy |
| 基金项目:国家自然科学基金青年项目（82103360） |
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| 中文摘要: |
| 摘要 目的：对比超声颅脑冠状切面鼻尖偏斜法与常规超声对早期胎儿颜面部畸形的诊断价值。方法：研究对象为2019.1-2024.1月于我院体检的120例疑似胎儿颜面部畸形的孕妇，分别实施常规超声及超声颅脑冠状切面鼻尖偏斜法，以引产后及分娩后结果为诊断金标准，分析不同诊断方式颜面部畸形诊断结果并建立ROC曲线分析诊断效能。结果：120例疑似胎儿颜面部畸形的孕妇中有52例出现颜面部畸形；超声颅脑冠状切面鼻尖偏斜法最终胎儿颜面部畸形确诊率明显高于常规超声（P＜0.05）；常规超声诊断灵敏度和特异度（80.25%、91.36%）低于超声颅脑冠状切面鼻尖偏斜法（91.26%、98.63%）。结论：早期胎儿颜面部畸形诊断中，常规超声可实现清晰的颜面部图像，但其诊断准确率、灵敏度与特异度均逊于超声颅脑冠状切面鼻尖偏斜法，这对于提升新生儿质量，改善妊娠结局具有重要价值。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the diagnostic value of nasal tip deviation method and conventional ultrasound in early fetal facial deformities using cranial coronal section. Methods: The research subjects were 120 pregnant women suspected of having fetal facial deformities who underwent physical examinations at our hospital from January 2019 to January 2024. Routine ultrasound and ultrasound coronal section nasal tip deviation were performed, and the results after induced labor and delivery were used as the diagnostic gold standard. The diagnostic results of facial deformities using different diagnostic methods were analyzed, and ROC curves were established to analyze the diagnostic efficacy. Results: 52 out of 120 pregnant women suspected of having fetal facial deformities developed facial deformities; The final diagnosis rate of fetal facial deformities using the nasal tip deviation method in the coronal section of the brain by ultrasound was significantly higher than that of conventional ultrasound (P<0.05); The sensitivity and specificity of conventional ultrasound diagnosis (80.25%, 91.36%) were lower than those of the nasal tip deviation method in the coronal section of the brain (91.26%, 98.63%). Conclusion: In the diagnosis of early fetal facial deformities, conventional ultrasound can achieve clear facial images, but its diagnostic accuracy, sensitivity, and specificity are inferior to the nasal tip deviation method of ultrasound cranial coronal section. This is of great value for improving neonatal quality and pregnancy outcomes. |
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