牛牛游戏厅安卓,{原始关键词}

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                1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 胎儿唇腭裂检查中二维联合三维超声的运用意义

                  胎儿唇腭裂检查中二维联合三维超声的运用意义

                  时间:2020-04-22 15:30作者:蒋朝霞 王双燕 胡科峰
                  本文导读:这是一篇关于胎儿唇腭裂检查中二维联合三维超声的运用意义的文章,利于二维超声按节段顺序扫查胎儿唇腭部,并常规从正中矢状切面及经口裂斜冠状切面对胎儿腭部进行观察,对高危胎儿及二维超声怀疑腭裂的胎儿进行三维自由解剖成像技术分析,可以明显提高胎儿唇腭裂的检出率,有利于孕

                    摘    要: 牛牛游戏厅安卓,{原始关键词}目的:探讨二维联合三维超声成像技术在胎儿唇腭裂中的应用价值。方法:利用二维及三维超声成像技术对2221例中孕期胎儿唇腭部进行常规筛查,并与产后或引产后检查结果进行对照。结果:2221例产后或引产后胎儿中检出唇腭裂23例(1.03%,23/2221),超声诊断正确21例(91.30%,21/23),误诊1例(4.37%,1/23):1例II度唇裂误判为III度唇裂;漏诊1例(4.37%,1/23):为单纯软腭裂。结论:应用二维联合三维超声常规检查胎儿唇腭部,可以大大提高胎儿唇腭裂的检出率。

                    关键词: 胎儿唇腭裂; 三维超声;

                    Abstract:牛牛游戏厅安卓,{原始关键词} Objective: To explore the value of two-dimensional combined three-dimensional ultrasound in diagnosis of fetal cleft lip and palate. Methods: Two-dimensional and three-dimensional ultrasound imaging technology were used to screen the lip and palate of 2221 fetuses during the middle pregnancy, and the results were compared with those of postpartum or induced labor. Results: 23 cases of 2221(1.03%,23/2221) fetuses were found cleft lip and palate, 21 cases(91.30%,21/23) were diagnosed correctly by ultrasound, 1 case(4.37%,1/23) was misdiagnosed, in which grade II cleft lip was diagnosed as grade III; 1 case(4.37%,1/23) of pure soft cleft palate was missed diagnosis. Conclusion: The detection rate of fetal cleft lip and palate, can be greatly improved by using two-dimensional combined with three-dimensional ultrasound.

                    Keyword:牛牛游戏厅安卓,{原始关键词} Fetal Cleft Lip and Palate; Three-dimensional Ultrasound;

                    1 、引言

                    CHUNELIESHITAIERZUICHANGJIANDEYANMIANBUJIXING,ZAICHUNELIEZHONG,DANCHUNCHUNLIEJINZHAN25%,CHUNLIEBANELIEZHAN51%,DANCHUNELIEZHAN24%[1],MUQIANGUONEICHUNLIEJIANCHULVGAO,DA90-100%,JIFAEYOUYUBEIMIANBUGUGEBAORAO,ERWEICHAOSHENGCHANGGUIQIEMIANCHANGCHANGNANYIXIANSHI,DAOZHITAIERELIEYOUQISHIDANCHUNELIECHANQIANCHAOSHENGJIANCHULVDI,JINWEI0%-22%[2],CHUNELIEYANZHONGYINGXIANGHUANERRIHOUDESHENGHUO、XUEXIHEGONGZUO,DANCHUNELIEHAICHANGCHANGSHIDUOZHONGZONGHEZHENGDEYIZHONGBIAOXIAN,YURANSETIGUANXIMIQIE[3]。BENYANJIUCAIYONGERWEICHAOSHENGLIANHESANWEICHAOSHENGCHANGGUISAOCHATAIERCHUNEBU,DADATIGAOLETAIERCHUNELIEDEJIANCHULV,YOULIYUYUNFUJINXINGCHANQIANZIXUNJIYICHUANFENGXIANPINGGU。

                    2、 资料与方法

                    2.1、 一般资料

                    收集2017年10月至2019年5月在我院行中孕期超声筛查并住院分娩或引产的胎儿2221例,(单胎2201例,双胎20例,共2241例),孕龄22周-28周,平均23周,孕妇年龄17-45岁,平均31岁。
                   

                  胎儿唇腭裂检查中二维联合三维超声的运用意义
                   

                    2.2、 诊断方法

                  牛牛游戏厅安卓,{原始关键词}   SHIYONGMEIGUOGEGONGSIVoluson E8、E10CAISEDUOPULECHAOSHENGZHENDUANYI,ERWEITANTOUPINLV2.0-5.0MHz、4.0-8.0MHz,RONGJITANTOUPINLV4.0-8.0MHz。SHOUXIANGENJUMOCIYUEJINGJIZAOYUNQICHAOSHENGQUEDINGYUNZHOU,RANHOUJINXINGXITONGCHAOSHENGJIANCHA。ZAIJIANCHASHIXIANMINGQUETAIERTIWEI,RUGUOTIWEIHESHI,TAIERCHUYUYANGWOWEI,QIETAIERYANMIANBUZHOUWEIMEIYOUZHITIHUOQIDAIZHEDANG,ZEXIANKAISHICHUNMIANBUDEGUANCHA;RUGUOTAIERTIWEIBUSHIHEYANMIANBUSAOCHA,ZEXIANKAISHITAIERQITABUWEIDEXITONGSHAICHAJICHANGGUISHENGWUXUECELIANG,DENGTAIERHUODONGHOU,YOULIYUYANMIANBUXIANSHISHIZAIXINGCHUNEBUSAOCHA。ZAIGUANCHATAIERCHUNEBUSHI,CAIYONGSANJIEDUANFENXIFASHUNXUPINGGUTAIERCHUNEBUDEWANZHENGXING。

                    DIYIJIEDUAN:LIYONGERWEICHAOSHENGPANDUANSHANGCHUNSHIFOUWANZHENGLIANXU。ZAIBICHUNGUANZHUANGQIEMIANSHANGGUANCHATAIERSHUANGBIKONGSHIFOUDUICHENG,SHANGCHUNPIFUXIANSHIFOUWANZHENGLIANXU。

                  牛牛游戏厅安卓,{原始关键词}   DIERJIEDUAN:PANDUANSHANGHEYACAOTUGONGSHIFOUWANZHENGLIANXU。ZAIXIANSHISHANGCHUNHENGQIEMIANHOUBAIDONGTANTOU,SHISHENGSHUXIANGSHANGQINGXIE15-30DU,HUOQUSHANGYACAOTUDEZHOUPINGMIAN,DANGSHANGYACAOTUGONGCEWEIXIANSHISHI,YUANCHANGYACAOGUBEIJINCHANGSHENGYINGYANGAI,XUDIAOZHENGTANTOUFANGXIANG,JINKENENGZUOYOUDUICHENGXIANSHI。ZHENGCHANGYACAOTUGONGBIAOXIANWEIGUANGHUAWANZHENGDE“C”XINGQUXIAN,QIAN6KEYACAOKEQINGXIXIANSHI,ZAICIQIEMIANSHANGGUANCHAYACAOTUYOUWULIEXIHUOQUEKOU,YACAOYOUWUCUOWEI。

                  牛牛游戏厅安卓,{原始关键词}   DISANJIEDUAN:PANDUANEDEWANZHENGXING。JUTICAOZUOFENLIANGBU。

                  牛牛游戏厅安卓,{原始关键词}   DIYIBU:LIYONGERWEICHAOSHENGXIANZAITAIERYANMIANBUZHENGZHONGSHIZHUANGQIEMIANGUANCHAEZHONGFENGSHIFOUWANZHENGCUNZAI,ZAICIQIEMIANSHANGEZHONGFENGBIAOXIANWEIGONGXINGXIANGSHANGDEGAOHUISHENGXIANQIZISHANGHEGUYACAOTU,XIANGHOUYANSHENZHIYANBU,QIAN2/3QIANGHUISHENGWEIYINGE,HOU1/3DIHUISHENGWEIRUANE。RANHOUJIANGTANTOUYIZHIXIACHUNCHU,TANTOUSHENGSHUXIANGTOUDINGFANGXIANGQINGXIE,JINGKOULIEXIANSHIEDEXIEGUANZHUANGQIEMIAN,ZAICIQIEMIANSHANG,YINGEBIAOXIANWEITIAODAIZHUANGGAOHUISHENG,RUANEBIAOXIANWEITIAODAIZHUANGRUANZUZHIDIHUISHENG。

                    DIERBU:SANWEICHENGXIANG。DUIYUGAOWEITAIER(YOUJIAZUSHI、JIWANGYOUSHENGYUGUOCHUNELIETAIERDEYUNFU、YIJIXIAOXIAHE、YANGSHUIGUODUODENGTAIERYOUQITAYICHANGQINGKUANGSHI)YIJIERWEICHAOSHENGFAXIANCHUNEBUYICHANGHUOKEYIYICHANGDETAIERJINXINGCHUNEBUSANWEICHENGXIANG。ZAITAIERYANMIANBUZHENGZHONGSHIZHUANGQIEMIANSHANGLIYONGCEJIAODUZHAOSHEJISHU[4],SHISHENGSHUYUTAIEREBUCHENG45DUJIAO,SHIBIGU、SHANGHEGU、XIAHEGUSHENGYINGXIANGTOUDINGBUQINGXIE,ZHEIYANGBIKAILESHENGYINGDEYINGXIANG,QIYONG3DGONGNENG,XUANYONGDAXIAOHESHIDEQUYANGKUANG,QIYONGRONGJIDUIBICHENGXIANG(VCI),ZIDONGCAIJIRONGJISHUJUHOUYISANFUTUXIANSHI,RANHOUDIAOZHENGX、Y、ZZHOU,SHIAPINGMIANSHANGTUXIANGBIANCHENGZHILIZUOXIANGZHENGZHONGSHIZHUANGQIEMIAN,RANHOUJIANGSANFUTUMOSHIDIAOZHENGWEIBAOHANAPINGMIANDEERFUTUMOSHIXIANSHI。ZAIAPINGMIANSHANGLIYONGSANWEICHAOSHENGZIYOUJIEPOUCHENGXIANGJISHUJINXINGFENXI,MIAOHUAEDEJIEPOUXIAN,YIXIANSHIEDEGEGEQIEMIAN。(1)EDEHENGQIEMIAN:ZAIAPINGMIANSHANGJINGSHANGHEGUYOUQIANXIANGHOUHUADIYITIAOZHIXIAN,KEYIZHIGUANDEXIANSHIYACAOGUJIYINGEDEHENGQIEMIAN,BIAOXIANWEI“C”XINGYACAOTUGONGJIANDEPIANZHUANGGAOHUISHENG;YANKOULIEHUADIERTIAOZHIXIAN,KEYIXIANSHIRUANEDEHENGQIEMIAN,WEIPIANZHUANGDIHUISHENGRUANZUZHIYING。(2)EDEXIEGUANZHUANGQIEMIAN:JINGLIZHUANGKONG、KOULIE、XIAHESANJIAOXIANGEDEFANGXIANGHUAZHIXIAN,HUOQUEDEXIEGUANZHUANGQIEMIAN。ZAIGAIQIEMIANSHANG,YINGEBIAOXIANWEITIAODAIZHUANGGAOHUISHENG,RUANEBIAOXIANWEITIAODAIZHUANGRUANZUZHIHUISHENG。(3)EDEQUMIANPINGPUCHENGXIANG:ZAIZUOTUCANKAOAPINGMIANSHANG,XUANYONGZHUIZONGMIAOJI(trace)HUODUOXIANDUAN(polylinar)MOSHI,ZISHANGCHUNYANSHANGHEGU、YINGEJIRUANEMIAOHUAJIEPOUXIAN,QUEDINGHOUQIYONGRONGJIDUIBICHENGXIANG(VCI),XIANSHIWEISHUANGXIAN,SHUANGXIANJIANJUYUE2-3mm,YOUTUZIDONGXIANSHICHUEDEPOUMIANTU。

                    3、 结果

                    3.1、 超声检查结果

                  牛牛游戏厅安卓,{原始关键词}   ZAICHANHOUHUOYINCHANHOUJIANCHUDE23LITAIERCHUNELIEZHONG,CHANQIANCHAOSHENGGONGJIANCHU22LICHUNELIE,QIZHONGDANCHUNCHUNLIE5LI(IIDUCHUNLIE2LI,IIIDUCHUNLIE3LI),CHUNLIEHEBINGELIE17LI(CHUNLIEHEBINGIIIDUELIE15LI,CHUNLIEHEBINGYACAOTULIE2LI)。CHAOSHENGZHENDUANZHENGQUE21LI,CUOPANLEIXING1LI:1LIIIDUCHUNLIECUOPANWEIIIIDUCHUNLIE;LOUZHEN1LI:WEIDANCHUNRUANELIEHEBINGNAOJISHUI、JIZHULIEJIYANGSHUIGUODUO。CHANQIANJIANCHUDE22LITAIERCHUNELIEYOU21LICHENGGONGHUOQUCHUNEBUSANWEIRONGJISHUJU,YOU1LICHUNLIEBINGIIIDUELIETAIERYINTAIFANGWEIJIYUNFUFUBIFEIPANGYINSUDAOZHIRONGJISHUJUCAIJISHIBAI。

                    3.2、 22例胎儿唇腭裂产前超声图像特征及产后检查结果

                    (1)CHANQIANJIANCHUCHUNLIE5LI,QIZHONG1LIIIDUCHUNLIECHANQIANCUOPANWEIIIIDUCHUNLIE,QIYU4LIJUNZHENGQUEZHENDUANBINGZHUNQUEFENXING,IIDUCHUNLIEBIAOXIANWEICHUNHONGYUBIKONGJIANDELIEXI,LIEXIWEIDABIKONGCHU,SHUANGCEBIKONGDUICHENGWEITAXIAN;IIIDUCHUNLIELIEXIDABIKONGCHU,BIAOXIANWEICHUNLIECEBIKONGTAXIANBIANXING,YINGYONGSANWEIBIAOMIANCHENGXIANGJISHUKEQINGXIXIANSHICHUNBULIEXIJISHUANGCEBIKONGXINGTAI,YOUZHUYUZHENDUAN。

                  牛牛游戏厅安卓,{原始关键词}   (2)CHANQIANJIANCHUCHUNLIEBINGELIE17LI,JUNZAICHANQIANZHENGQUEZHENDUAN,ZHENGCHANGYACAOTUZAIZHOUPINGMIANSHANGBIAOXIANWEIGUANGHUAWANZHENGDE“C”XINGGAOHUISHENGJIEGOU,2LICHUNLIEBINGYACAOTULIEBIAOXIANWEICHUNBUJIXIANGYINGYACAOTUCHUXIANQUEKOUHUOLIEXI,YACAOCUOWEI;15LIEIIIDUELIEZAIZHENGZHONGSHIZHUANGQIEMIANYOU8LIBIAOXIANWEIEZHONGFENGWANQUANQUESUN,KEYIXIANSHISHANGFANGGAOHUISHENGLIGU,BUFENKEJIANTAISHEXIANGSHANGJUANRUBIQIANG,ZAIERWEIJISANWEICHENGXIANGHUOQUDEJINGKOULIEXIEGUANZHUANGQIEMIANSHANG15LIJUNBIAOXIANWEITIAODAIZHUANGGAOHUISHENGLIANXUXINGZHONGDUAN,RUANELIEBIAOXIANWEITIAODAIZHUANGRUANZUZHIDIHUISHENGLIANXUXINGZHONGDUAN,ZAISANWEICHAOSHENGZIYOUJIEPOUCHENGXIANGMIAOHUAEDEPOUMIANTUSHANGKEQINGXIZHIGUANDEXIANSHIELIEDEDAXIAOJIXINGTAI。

                    4 、讨论

                    MUQIANCHAOSHENGDUIYUTAIERCHUNLIEJIYUANFAELIEDEZHENDUANLVBIJIAOGAO,TAIERJIFAEYOUYUZHOUBIANMIANBUGUGEBAORAO,CHANGCHANGDAOZHICHAOSHENGXIANSHIKUNNAN。JINNIANLAIGUONEIWAIXUDUOXUEZHECHANGSHIYONGSANWEICHAOSHENGCHENGXIANGJISHULAIXIANSHITAIEREBU,YITIGAOTAIERELIEDEJIANCHULV,DANJIANCHULISHUJUNJIAOSHAO。BENZUYANJIULIYONGERWEIJISANWEICHAOSHENGBATAIERCHUNEBUZUOWEICHANGGUIGUIFANXINGSAOCHA,CHUNELIEDEZHENDUANZHENGQUELVDADAO91.3%,WUZHENLVYUE4.37%,LOUZHENLVYUE4.37%。BENZUBINGLIZHONG,1LIIIDUCHUNLIECUOPANWEIIIIDUCHUNLIE,ZAIQUFENIIDUCHUNLIEJIIIIDUCHUNLIEZHONG,CHAOSHENGWANGWANGYIJUSHUANGCEBIKONGSHIFOUDUICHENG,CHUNLIECEBIKONGSHIFOUTAXIANJIANJIEPANDUAN,GAILITAIERKENENGZAIBIKONGDEXIANSHIZHONGGANJUESHUANGCEBIKONGBUTAIDUICHENGZAOCHENGLEGAIBINGLIDECUOPAN;LING1LILOUZHENBINGLIWEITAIERDANCHUNRUANELIE,HEBINGNAOJISHUI、JIZHULIEJIYANGSHUIGUODUO,ZAIHUIGUFENXIRUANEBUTUXIANGSHI,KENENGYINTAISHEDEZHEDANGDAOZHILELOUZHEN,YINCIZAISAOCHATAIERRUANEBUSHI,XUZHUYIBUYAOBASHEGENBUCUOPANWEIWANZHENGDERUANE,GUANCHARUANESHI,ZAITAIERKOUQIANGYUNDONG,SHANGEYUTAISHEFENLISHIBIJIAORONGYIXIANSHIRUANESHENGXIANG[5]。ERWEICHAOSHENGZAIZHENGZHONGSHIZHUANGQIEMIANSHANGGUANCHAEZHONGFENGLAICHUBUPANDUANEBUYOUWUQUESUNSHI,XUZHUYISHIFOUZAIZHENGZHONGSHIZHUANGQIEMIANSAOCHA,RURUOZAIPANGSHIZHUANGQIEMIANSAOCHASHIRONGYIZAOCHENGJIAYINXING,ZAIBENZUBINGLIZHONG,YOU8LIIIIDUELIEBIAOXIANWEI(8/15)EZHONGFENGWANQUANXIAOSHI。ZAIHUOQUEXIEGUANZHUANGQIEMIANSHI,YOUBUFENXUEZHEZHUZHANGCONGLIZHUANGKONGJIHEXIASANJIAOHUOQUEBUDEXIEGUANZHUANGQIEMIAN,DANLIZHUANGKONGSHENGCHUANGGUOXIAO,ERHEXIASANJIAODUITAIERTIWEIYAOQIUGUOGAO,SUOYISHIJIYINGYONGZHONGSHOUDAOLEXIANZHI。BENYANJIUCAIYONGJINGKOULIEHUODEEBUDEXIEGUANZHUANGQIEMIAN,BINGYOUQIANXIANGHOULIANXUSAOCHAYINGEJIHOUXIAFANGRUANE,BINGYUTAISHEYUNDONGKOUQIANGNEIYOUYANGSHUICHENTUOSHIQUFENSHEGENHERUANE,SHITAIERJIFAEDEDAOLIANGHAOXIANSHI。DUIGAOWEITAIERHUOERWEICHAOSHENGKEYIELIEDETAIERJINXINGSANWEICHENGXIANG,SANWEICHAOSHENGCHENGXIANGYOULIANGGEGUANJIANXINGWENTI,YISHIRONGJISHUJUDECAIJI,ERSHIRONGJISHUJUDEHOUCHULI。ZAIRONGJISHUJUDECAIJISHANG,MUQIANDABUFENXUEZHECAIYONGDETAIERYANMIANBUZHENGZHONGSHIZHUANGQIEMIANSHANGCAIJIRONGJISHUJU[6],DANZHEIZHONGFANGFAWUFAXIAOCHUSHANGHEGUSHENGYINGDEYINGXIANG,YOUYUSHENGYINGZHEDANG,DAOZHIJIFAEDERONGJISHUJUCAIJIBUWANZHENG,YINCICAIJIDAODEJIFAEXINXIBINGBUQUANMIAN,SUOYIWULUNCAIQUHEZHONGHOUCHULIFANGFAJINXINGFENXIJUNBUNENGWANZHENGDEXIANSHITAIERJIFAE,BENYANJIULIYONGCEJIAODUZHAOSHEJISHU[4],ZAITAIERYANMIANBUZHENGZHONGSHIZHUANGQIEMIANSHANGCAIJIRONGJISHUJUSHI,SHISHENGSHUYUTAIERJIFAECHENG45DUJIAO,ZHEIYANGSHIBIGU、SHANGHEGU、XIAHEGUSHENGYINGXIANGTOUDINGFANGXIANGPIANYI45DUJIAO,GAIFANGFAYINWEIBIKAILESHANGSHUGUGESHENGYINGDUIJIFAEDEYINGXIANG,YINCICAIJIDAOLEQUANBUEDEXINXI,ZAICIJICHUSHANGWULUNSHIYONGHEZHONGHOUCHULIJISHU,JUNNENGXIANSHIJIFAEDERENYIQIEMIAN,DADATIGAOLEELIEDEJIANCHULV。SANWEICHENGXIANGYOUDUOZHONGHOUCHULIJISHU,BENZUBINGLIJUNCAIYONGZIYOUJIEPOUCHENGXIANGJISHU,KEYIZAIJINGLIZHUANGKONG、KOULIE、XIAHESANJIAOMIAOHUAJIFAEDEXIEGUANZHUANGQIEMIAN,YEKEYIJINGYACAO、YINGE、RUANEMIAOHUAEDEQUMIANPINGPUTU,GAIJISHUJIANDANYICAOZUO,DUIYUELIEDEXIANSHIZHIGUANXINGXIANG,YIMULERAN。

                    ZONGZHI,LIYUERWEICHAOSHENGANJIEDUANSHUNXUSAOCHATAIERCHUNEBU,BINGCHANGGUICONGZHENGZHONGSHIZHUANGQIEMIANJIJINGKOULIEXIEGUANZHUANGQIEMIANDUITAIEREBUJINXINGGUANCHA,DUIGAOWEITAIERJIERWEICHAOSHENGHUAIYIELIEDETAIERJINXINGSANWEIZIYOUJIEPOUCHENGXIANGJISHUFENXI,KEYIMINGXIANTIGAOTAIERCHUNELIEDEJIANCHULV,YOULIYUYUNFUJINXINGCHANQIANZIXUNJIYICHUANFENGXIANPINGGU。

                    参考文献

                    [1]Offerdal K, Jebens N, Syvertsen T, et al. Prenatal ultrasound detection of facial clefts:a prospectives study of 49,314delivevies in a non-selected population in Norway[J].Ultrasound Obstet Gynecol, 2008, 31(6):639-646.
                    [2]Shaikh D, Mercer NS, Sohan K, et al. Prenatal diagnosis of cleft lip and palate[J]. Br J Plast Surg, 2001, 54(4):288-289.
                    [3]Faure JM, Captier G, Baumler M, et al. Sonographic assessment of normal fetal palate using three-dimensional imaging:a new technique[J]. Ultrasound Obstet Gynecol,2007, 29(2):159-165.
                    [4] 何光智,贺辉,廖拾零等.侧角度照射技术在胎儿腭三维超声成像中的应用价值[J].中华超声影像学杂志,2011,20(5):427-431.
                    [5] 何光智,张辉,杨建恩等.胎儿单纯腭裂的产前超声诊断[J].中华医学超声杂志(电子版),2014,11(7):561-570.
                  牛牛游戏厅安卓,{原始关键词}   [6]Campbell S, Lees C, Moscoso G, et al. Ultrasound antenatal diagnosis of cleft palate by a new technique:the 3D “reverse face” view[J]. Ultrasound Obstet Gynecol, 2005, 25(1):12-18.

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