李宏伟河南省郑州市妇幼保健院超声科，河南郑州　450000

连续顺序追踪超声扫查法诊断胎儿肢体畸形

李宏伟
河南省郑州市妇幼保健院超声科，河南郑州450000

目的 探讨连续顺序追踪超声扫查法在诊断胎儿肢体畸形中的诊断价值。方法 选取2011年5月—2013年5月5 012例在该院进行超声筛查的孕妇进行研究，按照检查方式的不同将其分为两组，观察组2 506例，采用连续顺序追踪超声扫查法检查，对照组2 506例，采用常规超声方法进行检测，对比两种检查方式的效果。结果对照组产后或引产后证实胎儿手足畸形13例，畸形率为0.52%；观察组产后或引产后证实胎儿手足畸形15例，畸形率为0.60%；两组胎儿手足畸形发生率对比差异无统计学意义（P＞0.05）；对照组产前常规超声检查显示胎儿手足畸形4例，检测率为30.77%；观察组产前经连续顺序追踪超声扫查法检查显示11例，检测率为73.33%；观察产前超声检查胎儿手足畸形率差异有统计学意义（P＜0.05）。结论 应用连续顺序追踪超声扫查法对胎儿肢体畸形进行诊断，效果显著。

胎儿；肢体畸形；连续顺序追踪超声扫查法

［Abstract］Objective To investigate the diagnostic value of continuous sequence ultrasound scanning method in the diagnosis of fetal limb deformities.Methods 5 012 pregnant women were selected by ultrasound screening in our hospital were studied during the period from May 2011 to May 2013.According to the different ways of examination will be divided into two groups，2 506 cases in the observation group，ultrasound scanning method was used to examine the continuous sequence.The control group of 2 506 cases，using conventional ultrasonic detecting method，comparing the two kinds of test results.Results Control group postpartum or confirmed by autopsy in 13 cases of fetal limb deformity.The malformation rate was 0.52%；the observation group postpartum or confirmed by autopsy in 15 cases of fetal limb deformity.The malformation rate was 0.60%；two groups of fetal hand deformity Incidence of contrast were significantly different（P＞0.05）；control group prenatal routine ultrasonography showed fetal limb deformity in 4 cases，the abnormality rate was 30.77%；observation group prenatal by sequential tracking ultrasonic scanning method examination showed 11 cases，deformity rate is 73.33%；observation of prenatal ultrasound examination of fetal limbs malformation rate were significant（P＜0.05）.Conclusion The application of continuous order tracking ultrasonic scanning method of fetal limb deformity diagnosis，the effect is remarkable.

［Key words］The fetus；Limb deformity；Continuous order tracking ultrasonic scan method

近年来，随着系统化超声筛查技术以及胎儿畸形产前规范化的广泛开展，超声医师对异常胎儿超声图像的诊断准确性和分析识别能力不断提高，使胎儿严重畸形漏诊率、误诊率不断下降，但依然存在部分胎儿畸形难以准确诊断的情况［1-2］。该次研究对2011年5月—2013年5月在该院行系统性超声检查的5 012例孕妇行常规超声与连续顺序追踪超声扫查法两种方式诊断，现报道如下。……