四维超声时空关联成像技术筛查中孕早期胎儿先天性心脏病的临床价值
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摘要
目的探讨四维超声时空关联成像技术(STIC)筛查中孕早期胎儿先天性心脏病的临床价值。方法以2015年6月~2016年6月在我院进行检查的100例中孕早期孕妇为研究对象,采用随机数字表法将所有研究对象分成对照组与观察组各50例,对照组患者予以二维超声筛查,观察组予以四维超声时空关联成像技术筛查,对比两组患者的先天性心脏病检出率、随访结果和孕妇满意度。结果经比较可知,观察组患者的检测阳性率、特异度和准确率显著高于对照组(P<0.05);且观察组研究对象的采集时间显著短于对照组(P<0.05),孕妇满意度也显著优于对照组,差异有统计学意义(P<0.05)。结论四维超声时空关联成像技术筛查中孕早期胎儿先天性心脏病具有显著的临床应用优势,能够明确提升诊断效率,其临床应用价值较高。
Objective To investigate the clinical value of four-dimensional ultrasound spatio-temporal correlation imaging in screening congenital heart disease in early pregnancy. Methods A total of 100 pregnant women with early pregnancy in our hospital from June 2015 to June 2016 were selected as research objects. All subjects were divided into control group and observation group by random number table method,each with 50 cases. Control group was screened with Two-dimensional ultrasound screening, observation group was screened with four-dimensional ultrasound spatio-temporal correlation imagin. The detection rate of congenital heart disease, follow-up results and the degree of satisfaction of pregnant women were compared. Results Compared with the control group, the positive rate, specificity and accuracy of the observation group were significantly higher than those of the control group(P < 0.05). The acquisition time of the observation group was significantly shorter than that of the control group(P < 0.05), the satisfaction of observation group was also significantly better than that of control group, the difference was statistically significant, P < 0.05. Conclusion Four-dimensional ultrasound spatio-temporal correlation imaging screening of fetal congenital heart disease in early pregnancy has significant clinical application advantages, can clearly improve the diagnostic efficiency, and its clinical value is higher.
Objective To investigate the clinical value of four-dimensional ultrasound spatio-temporal correlation imaging in screening congenital heart disease in early pregnancy. Methods A total of 100 pregnant women with early pregnancy in our hospital from June 2015 to June 2016 were selected as research objects. All subjects were divided into control group and observation group by random number table method,each with 50 cases. Control group was screened with Two-dimensional ultrasound screening, observation group was screened with four-dimensional ultrasound spatio-temporal correlation imagin. The detection rate of congenital heart disease, follow-up results and the degree of satisfaction of pregnant women were compared. Results Compared with the control group, the positive rate, specificity and accuracy of the observation group were significantly higher than those of the control group(P < 0.05). The acquisition time of the observation group was significantly shorter than that of the control group(P < 0.05), the satisfaction of observation group was also significantly better than that of control group, the difference was statistically significant, P < 0.05. Conclusion Four-dimensional ultrasound spatio-temporal correlation imaging screening of fetal congenital heart disease in early pregnancy has significant clinical application advantages, can clearly improve the diagnostic efficiency, and its clinical value is higher.
引文
[1]翟建茹.超声在胎儿心脏畸形筛查中的应用与进展[J].医学理论与实践,2015,28(9):1163-1164.
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[5]张晓航,李锐,段灵敏,等.超声容积自动测量技术联合时间空间相关成像技术在胎儿心脏检查中的应用研究[J].中华超声影像学杂志,2011,20(1):41-43.
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[8]麦艳红,韦春玲,潘洁,等.胎儿先天性心脏病影响因素的病例-对照研究[J].中国优生与遗传杂志,2015,23(3):76-78,118.
[9]卢薇薇.四维超声时空关联成像技术筛查中孕早期胎儿先天性心脏病的临床价值评价[J].中国实用医药,2015,10(11):22-23.
[10]谭冰.四维时空关联成像技术在胎儿心脏检查中应用价值[J].世界最新医学信息文摘,2015,15(1):25,62.
[11]员小春,刘梅梅,张欢,等.孕早期超声心动图对超声软指标阳性胎儿复杂先天性心脏病的诊断价值[J].现代生物医学进展,2017,17(28):5536-5539.
[12]刘耘利.四维超声时空关联成像技术研究胎儿心脏畸形的诊断价值[J].当代医学,2014,20(10):17-18.
[13]贾立娟,杜学谦.四维超声时间空间关联成像技术监测胎儿先天性心脏病的临床价值分析[J].山西医药杂志,2016,45(5):527-529.
[14]陶珍,魏玲玲,王颖.中孕早期胎儿先天性心脏病筛查中四维超声时空关联成像技术的临床应用效果观察[J].中国产前诊断杂志(电子版),2016,8(1):7-10.
[15]张金荣,赵远.孕前及孕早期非遗传因素与胎儿先天性心脏病的相关性研究[J].中国妇幼保健,2016,31(11):2351-2353.
[16]赖东娣,简楚云.妊娠早期胎儿心脏轴检查对先天性心脏病检出的意义[J].广东医学院学报,2016,34(4):406-408.
[2]赖彩芹,王晨虹,杨莹.胎儿先天性心脏病产前检查的研究进展[J].中国优生与遗传杂志,2015,23(1):1-3,10.
[3]胡剑,艾清秀,刘炼,等.四维彩超技术在筛查胎儿先天性心脏病的应用价值分析[J].现代生物医学进展,2015,15(18):3502-3505,3592.
[4]赵艳春,吕国荣,李敏,等.四维超声STIC技术检测中孕早期胎儿心脏畸形[J].中国医学影像技术,2013,29(2):260-263.
[5]张晓航,李锐,段灵敏,等.超声容积自动测量技术联合时间空间相关成像技术在胎儿心脏检查中的应用研究[J].中华超声影像学杂志,2011,20(1):41-43.
[6]卢洪涛,李清.四维时空关联成像对胎儿心脏畸形的产前诊断价值[J].山东医药,2015,55(1):72-73.
[7]赵艳春,吕国荣,陈秋月,等.四维超声时空关联成像纳入常规胎儿心脏筛查的可行性[J].中国超声医学杂志,2012,28(8):754-758.
[8]麦艳红,韦春玲,潘洁,等.胎儿先天性心脏病影响因素的病例-对照研究[J].中国优生与遗传杂志,2015,23(3):76-78,118.
[9]卢薇薇.四维超声时空关联成像技术筛查中孕早期胎儿先天性心脏病的临床价值评价[J].中国实用医药,2015,10(11):22-23.
[10]谭冰.四维时空关联成像技术在胎儿心脏检查中应用价值[J].世界最新医学信息文摘,2015,15(1):25,62.
[11]员小春,刘梅梅,张欢,等.孕早期超声心动图对超声软指标阳性胎儿复杂先天性心脏病的诊断价值[J].现代生物医学进展,2017,17(28):5536-5539.
[12]刘耘利.四维超声时空关联成像技术研究胎儿心脏畸形的诊断价值[J].当代医学,2014,20(10):17-18.
[13]贾立娟,杜学谦.四维超声时间空间关联成像技术监测胎儿先天性心脏病的临床价值分析[J].山西医药杂志,2016,45(5):527-529.
[14]陶珍,魏玲玲,王颖.中孕早期胎儿先天性心脏病筛查中四维超声时空关联成像技术的临床应用效果观察[J].中国产前诊断杂志(电子版),2016,8(1):7-10.
[15]张金荣,赵远.孕前及孕早期非遗传因素与胎儿先天性心脏病的相关性研究[J].中国妇幼保健,2016,31(11):2351-2353.
[16]赖东娣,简楚云.妊娠早期胎儿心脏轴检查对先天性心脏病检出的意义[J].广东医学院学报,2016,34(4):406-408.