二维超声、三维超声TUI以及四维超声三者联合对胎儿唇腭裂畸形的诊断价值

摘要

Objective:To investigate the value of two-dimensional ultrasound,three-dimensional ultrasound TUI and four-dimensional ultrasound combine examination in the diagnosis of fetal cleft lip and palate deformities.Method:From March 2014 to February 2016,5400 cases of pregnant women in our hospital were selected.Respectively for two-dimensional ultrasonography,three-dimensional ultrasound,four-dimensional ultrasound and combined examination,antenatal and postnatal number of cleft lip and palate,simple cleft lip and palate number,different gestational weeks of detection rate were compared.Result:Among 5400 cases of pregnant women,203 cases were lost to follow-up,accounted for 3.76%,and the other 5197 cases were produced by normal or induced labor.Postpartum found 23 cases of cleft lip and palate,accounting for 0.44%(23/5197), included 17 cases of children with cleft lip and palate,6 cases of simple lip cleft palate.Maternal gestational age between 24 and 35 weeks,cleft lip and palate and cleft lip and palate see prototype was higher.Conclusion:Two-dimensional ultrasound,three-dimensional ultrasound TUI and four-ultrasound combined examination of cleft lip and palate is much better than that of two-dimensional ultrasound detection rate.It can promote the use in the diagnosis of fetal cleft lip and palate deformities.%目的：探讨二维超声、三维超声TUI以及四维超声三者联合对胎儿唇腭裂畸形的诊断价值。方法：选取本院2014年3月-2016年2月接收的孕妇5400例分别进行单独二维超声检查、单独三维超声、单独四维超声以及二维超声、三维超声TUI以及四维超声联合检查，比较产前、产后唇腭裂数、单纯性唇腭裂数以及不同孕周的检出率情况。结果：5400例产妇中，失访203例，占3.76%，余5197例正常生产或引产生产。产后发现唇腭裂23例，占0.44%（23/5197），其中唇腭裂17例，单纯性唇腭裂6例；此外，若孕周为24~35周，则唇腭裂和单纯性唇腭裂的见雏形较高。结论：二维超声、三维超声TUI以及四维超声联合检查中唇腭裂检出率明显优于二维超声，故而可以推广使用于胎儿唇腭裂畸形的诊断。