超声筛查胎儿浅表软组织包块技巧
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摘要
目的探讨二维及三维超声筛查胎儿浅表软组织包块的技巧。方法采用垂直胎儿体表横切、纵切及切线位相结合的扫查方法对2016年1～12月在成都市温江区妇幼保健院及四川省妇女儿童中心医院接受系统筛查的9835例胎儿与2015年1～12月未采用该方法在医院接受系统筛查的9856例胎儿进行对比研究,分析两组胎儿浅表软组织包块阳性率的差异。结果 2016年采用垂直胎儿体表横切、纵切及切线位扫查相结合的方法筛查胎儿浅表软组织,其浅表软组织包块阳性率明显高于2015年未采用该方法筛查胎儿软组织的包块阳性率,差异有显著性(P<0.05),在2016年研究组的9835例胎儿筛查出13例软组织包块,阳性率为0.13%,出生或引产结果证实漏诊1例,2015年对照组的9856例胎儿筛查出3例浅表软组织包块,阳性率为0.03%,漏诊12例。结论采用垂直胎儿体表横切、纵切及切线位相结合的扫查技巧筛查胎儿浅表软组织可明显提高浅表软组织包块的检出率,可在临床中推广应用。
Objective To explore the technique of screening two-dimensional and three-dimensional ultrasonography for superficial soft tissue mass in fetus.Methods The methods of vertical fetal body surface transection,longitudinal incision and tangent line scanning method were used to evaluate the effect of the fetus in Wenjiang District Maternal and Child Health Hospital and Sichuan Women and Children's Hospital from January to December 2016.The screening of9835 fetuses and January 2015-December 2015 without this method in both homes of the system of 9856 fetuses were compared.Results In 2016,the positive rate of screening of superficial soft tissue mass in fetal fetus was significantly higher than that of the fetus soft tissue mass without screening in 2015 by the method of vertical fetal body surface transection,longitudinal incision and tangent scan.(P<0.05).In 2016,13 cases of soft tissue mass were found in 9835 fetuses in the study group,the positive rate was 0.13%.The result of birth or induction of labor confirmed that one case had missed the right shoulder Hemangiomas(mass of about 2cm,width of about 3cm and thickness of about 0.2cm)were enrolled in this study.Of the 9,556 fetuses in the control group in 2015,3cases of soft tissue mass were screened out,with a positive rate of 0.03% and 12 missed cases.Conclusion The screening of the superficial soft tissues of the fetus with the scanning technique of vertical fetal body surface transection,longitudinal incision and tangent line significantly improves the detection rate of superficial soft tissue mass.
Objective To explore the technique of screening two-dimensional and three-dimensional ultrasonography for superficial soft tissue mass in fetus.Methods The methods of vertical fetal body surface transection,longitudinal incision and tangent line scanning method were used to evaluate the effect of the fetus in Wenjiang District Maternal and Child Health Hospital and Sichuan Women and Children's Hospital from January to December 2016.The screening of9835 fetuses and January 2015-December 2015 without this method in both homes of the system of 9856 fetuses were compared.Results In 2016,the positive rate of screening of superficial soft tissue mass in fetal fetus was significantly higher than that of the fetus soft tissue mass without screening in 2015 by the method of vertical fetal body surface transection,longitudinal incision and tangent scan.(P<0.05).In 2016,13 cases of soft tissue mass were found in 9835 fetuses in the study group,the positive rate was 0.13%.The result of birth or induction of labor confirmed that one case had missed the right shoulder Hemangiomas(mass of about 2cm,width of about 3cm and thickness of about 0.2cm)were enrolled in this study.Of the 9,556 fetuses in the control group in 2015,3cases of soft tissue mass were screened out,with a positive rate of 0.03% and 12 missed cases.Conclusion The screening of the superficial soft tissues of the fetus with the scanning technique of vertical fetal body surface transection,longitudinal incision and tangent line significantly improves the detection rate of superficial soft tissue mass.
引文
[1]毛萌,朱军.出生缺陷监测研究现状[J].实用儿科临床杂志2009,24(11):801-803.
[2]石永丽,肖岷,管翠霞,等.我国出生缺陷的现状及流行病学特征综述[J].齐齐哈尔医学院学报,2010,31(21):3440-3442.
[3] Miller DC,saigal cs,Litwin MS.The demographic burden 0furologic diseases in American[J].Urol Clin North Am,2009,36(1):11-27.
[4]沈国芳,闻小军,季珍.超声筛查胎儿畸形存在问题分析[J].中国医学影像技术,2003,19(1):82-83.
[5]董素贞,朱铭.胎儿畸形的超声和MRI诊断价值对比[J].国外医学(临床放射学分册),2007,30(4):279-283.
[6] Daltro P,Fricke BL,Kline-Fath BM,et al.Prenatal MRI of congen-ital abdominal and chest wall defects[J].AJR,2005,184(3):1010-1016.
[7]韩瑾,刘鸿圣,潘敏,等.胎儿少见部位淋巴管瘤的超声与核磁共振成像诊断[J],中华医学超声杂志(电子版),2015,12(9):707-712.
[8]陈燕碧,陈瑞华,张璇.实时三维彩色多普勒超声诊断胎儿骶尾部畸胎瘤的价值[J].广东医学,2011,32(12):1567-1569.
[9]赖秋荣,伟桂兰.产前系统超声诊断胎儿畸胎瘤的临床分析[J].中华妇幼临床医学杂志(电子版),2013,9(4):462-463.
[10]熊毅,关云萍,项宇洪.产前超声对胎儿骶尾部囊性肿块的鉴别诊断价值探讨[J].当代医学,2016,(4):80-81.
[11]商海娇,陈坤兰,胎儿脊髓脊膜膨出MOMS临床研究[J].中国产前诊断杂志(电子版),2013,5(3):32-34.
[12]姚海英.超声诊断胎儿骶尾部畸胎瘤1例[J].临床超声医学杂志,2013,15(7):519.
[13]戴常平,任颖恒.86例胎儿淋巴水囊瘤超声表现及预后分析[J].中国妇幼保健,2008,23(1):60-61.
[14]彭红娣,胎儿颈部淋巴水囊瘤的超声诊断[J].中外健康文摘,2012,09(1):260-261.
[15]孙子燕,夏黎明,王承缘,等.胎儿颈部囊性淋巴管瘤的影像学表现[J].放射学实践,2006,21(12):1205-1207.
[16]熊华花,李泉水,许晓华,等.浅表血管脂肪瘤的超声影像特征及病理成像基础研究[J].中国超声医学杂志,2012,28(4):341-344.
[17]李恭才,张宪生,高亚.全国小儿血管瘤专题研讨会纪要[J].中华小儿外科学杂志,1992,13(2):121-122
[18]邹音,钟华生.杨文萍小儿皮肤血管瘤中肥大细胞的定量研究和超微结构分析[J].中华病理学杂志,2000,29(4):293.
[19]孙双凤,王文利,陈茗香.超声诊断胎儿右手掌血管平滑肌脂肪瘤1例[J].中国超声医学杂志,2007,23(6):453.
[20]李丽,秦平.胎儿皮肤血管瘤的超声影像特点及胎儿结局[J].中华妇产科杂志,2006,41(9):605-607.
[21]栾泽东,武晓峰,邹艳丽,等.胎儿左侧面颊部皮下纤维脂肪瘤超声表现1例[J].中华超声影像学杂志,2011,20(11):961
[22] Chou SY,Chiang HK,Chow PK,et al.Fetal hepatic hemangioma diagnosed prenatally with ultrasonography[J].Aeta Obstet Gynecol Scand,2005,84:301-302.
[23]梁娜吴青青,姚苓,等.先天性静脉畸形肢体肥大综合征产前超声表现并文献回顾[J].中国超声医学杂志,2015,31(7):661-663
[24]李红星,张云良.无肢体增长的先天性静脉畸形肢体肥大综合征1例[J].首都医科大学学报,2008,29(5):656-657.
[25] Purkait R,Samanta T,Sinhamahapatra T,et al.Overlap of sturge-weber syndrome and klippel-trenaunay syndrome[J].Indian J Dermatol,2011,56(6):755-757.
[26] Timur AA,Driscoll DJ,Wang Q.Biomedicine and diseases:the Klippel-Trenaunay syndrome,vascular anomalies and vascular morphogenesis[J].Cell Mol Life Sci,2005,62(13):1434-1447.
[2]石永丽,肖岷,管翠霞,等.我国出生缺陷的现状及流行病学特征综述[J].齐齐哈尔医学院学报,2010,31(21):3440-3442.
[3] Miller DC,saigal cs,Litwin MS.The demographic burden 0furologic diseases in American[J].Urol Clin North Am,2009,36(1):11-27.
[4]沈国芳,闻小军,季珍.超声筛查胎儿畸形存在问题分析[J].中国医学影像技术,2003,19(1):82-83.
[5]董素贞,朱铭.胎儿畸形的超声和MRI诊断价值对比[J].国外医学(临床放射学分册),2007,30(4):279-283.
[6] Daltro P,Fricke BL,Kline-Fath BM,et al.Prenatal MRI of congen-ital abdominal and chest wall defects[J].AJR,2005,184(3):1010-1016.
[7]韩瑾,刘鸿圣,潘敏,等.胎儿少见部位淋巴管瘤的超声与核磁共振成像诊断[J],中华医学超声杂志(电子版),2015,12(9):707-712.
[8]陈燕碧,陈瑞华,张璇.实时三维彩色多普勒超声诊断胎儿骶尾部畸胎瘤的价值[J].广东医学,2011,32(12):1567-1569.
[9]赖秋荣,伟桂兰.产前系统超声诊断胎儿畸胎瘤的临床分析[J].中华妇幼临床医学杂志(电子版),2013,9(4):462-463.
[10]熊毅,关云萍,项宇洪.产前超声对胎儿骶尾部囊性肿块的鉴别诊断价值探讨[J].当代医学,2016,(4):80-81.
[11]商海娇,陈坤兰,胎儿脊髓脊膜膨出MOMS临床研究[J].中国产前诊断杂志(电子版),2013,5(3):32-34.
[12]姚海英.超声诊断胎儿骶尾部畸胎瘤1例[J].临床超声医学杂志,2013,15(7):519.
[13]戴常平,任颖恒.86例胎儿淋巴水囊瘤超声表现及预后分析[J].中国妇幼保健,2008,23(1):60-61.
[14]彭红娣,胎儿颈部淋巴水囊瘤的超声诊断[J].中外健康文摘,2012,09(1):260-261.
[15]孙子燕,夏黎明,王承缘,等.胎儿颈部囊性淋巴管瘤的影像学表现[J].放射学实践,2006,21(12):1205-1207.
[16]熊华花,李泉水,许晓华,等.浅表血管脂肪瘤的超声影像特征及病理成像基础研究[J].中国超声医学杂志,2012,28(4):341-344.
[17]李恭才,张宪生,高亚.全国小儿血管瘤专题研讨会纪要[J].中华小儿外科学杂志,1992,13(2):121-122
[18]邹音,钟华生.杨文萍小儿皮肤血管瘤中肥大细胞的定量研究和超微结构分析[J].中华病理学杂志,2000,29(4):293.
[19]孙双凤,王文利,陈茗香.超声诊断胎儿右手掌血管平滑肌脂肪瘤1例[J].中国超声医学杂志,2007,23(6):453.
[20]李丽,秦平.胎儿皮肤血管瘤的超声影像特点及胎儿结局[J].中华妇产科杂志,2006,41(9):605-607.
[21]栾泽东,武晓峰,邹艳丽,等.胎儿左侧面颊部皮下纤维脂肪瘤超声表现1例[J].中华超声影像学杂志,2011,20(11):961
[22] Chou SY,Chiang HK,Chow PK,et al.Fetal hepatic hemangioma diagnosed prenatally with ultrasonography[J].Aeta Obstet Gynecol Scand,2005,84:301-302.
[23]梁娜吴青青,姚苓,等.先天性静脉畸形肢体肥大综合征产前超声表现并文献回顾[J].中国超声医学杂志,2015,31(7):661-663
[24]李红星,张云良.无肢体增长的先天性静脉畸形肢体肥大综合征1例[J].首都医科大学学报,2008,29(5):656-657.
[25] Purkait R,Samanta T,Sinhamahapatra T,et al.Overlap of sturge-weber syndrome and klippel-trenaunay syndrome[J].Indian J Dermatol,2011,56(6):755-757.
[26] Timur AA,Driscoll DJ,Wang Q.Biomedicine and diseases:the Klippel-Trenaunay syndrome,vascular anomalies and vascular morphogenesis[J].Cell Mol Life Sci,2005,62(13):1434-1447.