[1]王家友,黄燕,伍小勇. 不同切面超声筛查在早中期孕妇孕检胎儿颜面部筛查中的应用[J].中国医学物理学杂志,2019,36(10):1195-1199.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.016]
　WANG Jiayou,HUANG Yan,WU Xiaoyong. Application of ultrasound screening of different sections in fetal facial screening during early and mid-pregnancy[J].Chinese Journal of Medical Physics,2019,36(10):1195-1199.[doi:DOI:10.3969/j.issn.1005-202X.2019.10.016]
点击复制

 不同切面超声筛查在早中期孕妇孕检胎儿颜面部筛查中的应用()
分享到：

《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第10期
页码:
1195-1199
栏目:
医学影像物理
出版日期:
2019-10-29

文章信息/Info

Title:
 Application of ultrasound screening of different sections in fetal facial screening during early and mid-pregnancy
文章编号:
1005-202X（2019）10-1195-05
作者:
 王家友; 黄燕; 伍小勇
 重庆市开州区人民医院放射科， 重庆 405400
Author(s):
 WANG Jiayou;  HUANG Yan;  WU Xiaoyong
 Department of Radiology, Kaizhou District People’s Hospital, Chongqing 405400, China
关键词:
 ; 超声; 胎儿; 颜面部畸形; 常规三切面联合特殊切面法
Keywords:
 ; Keywords: ultrasound;  fetus;  facial deformity;  3 sections combined with special sections
分类号:
R445.1
DOI:
DOI:10.3969/j.issn.1005-202X.2019.10.016
文献标志码:
A
摘要:
 目的：探讨不同切面超声筛查在早中期孕妇孕检胎儿颜面部筛查中的应用价值。方法：选取2016年3月~2018年4月于重庆市开州区人民医院进行孕检的孕妇1 800例，先采用单一切面超声筛查（鼻唇冠状切面），再采用常规三切面联合特殊切面法进行筛查。常规三切面包括：唇水平横切面、颜面部正中矢状切面以及鼻唇冠状切面；特殊切面法包括：经面颊部斜横切面，经梨状孔硬腭斜冠状切面、矢状切面以及经下颌或下唇斜冠状切面。对两种扫描方法的筛查结果进行诊断，对比两种筛查方法的诊断准确率，分析两种检查方法的图像结果特点。结果：采用鼻唇冠状切面法的畸形检出率仅为55.56%，而采用常规三切面联合特殊切面法的畸形检出率为100%，两者间具有统计学差异，后者比前者更加有效。结论：对于早中期孕妇孕检胎儿颜面部唇腭裂畸形的筛查，常规三切面联合特殊切面法相比于单一鼻唇冠状切面法能够更全面地观察到唇腭裂畸形胎儿的各项畸形指征，从而更准确地检出胎儿的唇腭裂畸形，具有重要的临床应用价值。
Abstract:
 Abstract: Objective To explore the application value of ultrasound screening of different sections for fetal facial screening during early and mid-pregnancy. Methods A total of 1 800 pregnant women who had pregnancy test in Kaizhou District People’s Hospital from March 2016 to April 2018 were enrolled in the study. The ultrasound screening of single section (nasolabial coronal section) was firstly used for screening, and then the ultrasound screening of conventional 3 sections combined with special sections were applied. The conventional 3 sections included horizontal section of lip, median sagittal section of face and nasolabial coronal section, while the special sections included oblique cross-section of cheek, oblique coronal section and sagittal section of the hard palate through piriform aperture, and oblique coronal section of mandible or lower lip. The diagnostic analysis was carried out based on the screening results which were obtained by two different ultrasound screenings. The diagnostic accuracy and imaging features of two methods were compared and analyzed. Results All sections had certain respond to cleft lip and palate. However, the detection rate of malformations with the ultrasound screening of nasolabial coronal section was only 55.56%, lower than 100% which was obtained by the ultrasound screening of conventional 3 sections combined with special sections, with statistical differences. Therefore, the latter was considered to be more effective than the former. Conclusion In the screening for fetal cleft lip and palate during early and mid-pregnancy, compared with the ultrasound screening of single section, the ultrasound screening of conventional 3 sections combined with special sections can be used to comprehensively observe the deformity indications of fetal cleft lip and palate, thereby accurately detecting fetal cleft lip and palate, with important clinical application value.

相似文献/References:

[1]傅 静,James F Cnota.超声不同数学公式评估中国胎儿体重的准确性分析[J].中国医学物理学杂志,2014,31(01):4709.[doi:10.3969/j.issn.1005-202X.2014.01.025]
[2]裘品丹,翁纽周.超声显像在脐尿管囊肿病灶中的特点及其诊断价值研究[J].中国医学物理学杂志,2014,31(04):5064.[doi:10.3969/j.issn.1005-202X.2014.04.019]
[3]王遥,霍万里,熊壮,等.TACE手术中不同站姿下铅眼镜和铅面罩对医生眼晶状体防护效果的蒙特卡洛模拟比较[J].中国医学物理学杂志,2016,33(6):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
　[J].Chinese Journal of Medical Physics,2016,33(10):553.[doi:DOI:10.3969/j.issn.1005-202X.2016.06.003]
[4]张新,谷晓芳,王培臣,等.轻离子束治疗设备注册检验关键技术问题[J].中国医学物理学杂志,2016,33(6):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
　[J].Chinese Journal of Medical Physics,2016,33(10):559.[doi:10.3969/j.issn.1005-202X.2016.06.004]
[5]江芬芬,王培,康盛伟,等. 热释光剂量片测量肺部肿瘤放疗剂量的方法[J].中国医学物理学杂志,2016,33(6):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
　[J].Chinese Journal of Medical Physics,2016,33(10):564.[doi:10.3969/j.issn.1005-202X.2016.06.005]
[6]刘洪源,彭威,杨锐,等. 锥形束CT离线校正肺癌摆位误差[J].中国医学物理学杂志,2016,33(6):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
　[J].Chinese Journal of Medical Physics,2016,33(10):573.[doi:10.3969/j.issn.1005-202X.2016.06.007]
[7]赵彪,潘香,杨毅,等. 右乳癌保乳术后瘤床同步X线和后程电子线补量调强放疗剂量学比较[J].中国医学物理学杂志,2016,33(6):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
　[J].Chinese Journal of Medical Physics,2016,33(10):576.[doi:10.3969/j.issn.1005-202X.2016.06.008]
[8]邓南,钱建庭,刁现芬,等. 基于宽带检测放疗X-光光声效应仿体实验[J].中国医学物理学杂志,2016,33(9):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
　[J].Chinese Journal of Medical Physics,2016,33(10):865.[doi:DOI:10.3969/j.issn.1005-202X.2016.09.001]
[9]张先稳,李军,张西志,等. 宫颈癌术后5野调强放疗4个变量组合的最佳治疗模式的剂量学[J].中国医学物理学杂志,2016,33(9):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
　[J].Chinese Journal of Medical Physics,2016,33(10):872.[doi:10.3969/j.issn.1005-202X.2016.09.002]
[10]胡健,李承军,徐利明,等. 床面倾斜对剂量验证通过率的影响[J].中国医学物理学杂志,2016,33(9):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
　[J].Chinese Journal of Medical Physics,2016,33(10):881.[doi:10.3969/j.issn.1005-202X.2016.09.003]
[11]李俏颖,周定中. 超声与MRI诊断乳腺癌及不同病理分型影像特点分析[J].中国医学物理学杂志,2019,36(2):205.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.016]
　LI Qiaoying,ZHOU Dingzhong. Effectiveness of ultrasound and MRI in the diagnosis of breast cancers and analysis of imaging features of different pathological types[J].Chinese Journal of Medical Physics,2019,36(10):205.[doi:DOI:10.3969/j.issn.1005-202X.2019.02.016]

备注/Memo

备注/Memo:
 【收稿日期】2019-06-08
【基金项目】重庆市卫计委医学科研计划项目（2016MSXM194)
【作者简介】王家友，主治医师，研究方向：超声医学、CT、磁共振，E-mail: xzr171224@126.com
更新日期/Last Update: 2019-10-30