| 杜琼芳,杨家翔,唐玉英,等.二维辅以三维超声在胎儿严重尿道下裂诊断中的价值[J].安徽医药,2020,24(9):1843-1846. |
| 二维辅以三维超声在胎儿严重尿道下裂诊断中的价值 |
| Two dimensional ultrasonography combined with three dimensional ultrasonography in diagnosis of fetal severe hypospadias |
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| DOI：10.3969/j.issn.1009-6469.2020.09.038 |
| 中文关键词: 尿道下裂/超声检查 超声检查，产前 成像，三维 |
| 英文关键词: Hypospadias/ultrasonography Ultrasonography,prenatal Imaging,three-dimensional |
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| 中文摘要: |
| 目的探讨二维超声( 2DUS)辅以三维超声( 3DUS)应用于胎儿严重尿道下裂诊断中的价值。方法分析 2011年 1月至 2018年 10月四川省双流区第一人民医院 31例孕妇的病历资料，产前均因疑诊胎儿严重尿道下裂而序贯予以 2DUS和 3DUS检查。以分娩(或引产)后的结果作为诊断的金标准，对两种检查方法的准确性进行比较分析。结果 31例病儿中，产后确诊为非尿道下裂 6例，严重尿道下裂 25例。 3DUS诊断严重尿道下裂的准确性( 67.74％)与 2DUS(64.52％)差异无统计学意义( χ2＝0.072，P＝0.788)；而 2DUS辅以 3DUS诊断严重尿道下裂的准确性( 90.32％)明显高于单用 2DUS或 3DUS，差异有统计学意义(2DUS+3DUS比 2DUS:χ2＝5.905，P＝0.015；2DUS+3DUS比 3DUS:χ2＝4.769，P＝0.029)。结论 2DUS辅以 3DUS应用于严重尿道下裂的产前诊断，相较于单用 2DUS或 3DUS，能明显提高诊断的准确性，值得临床推广应用。 |
| 英文摘要: |
| Objective To explore the value of the two dimensional ultrasonography(2DUS)combined with three dimensional ultraso- nography(3DUS)in the diagnosis offetal severe hypospadias.Methods The medical records of 31 pregnant women in The First Peo- ple’s Hospital of Shuangliu District，Chengdu from January 2011 to October 2018 were analyzed，and 2DUS and 3DUSwere sequen-tially checked before the birth due because of clinically suspected fetal severe hypospadias.The results of childbirth(or induction of labor) were used as the gold standard for diagnosis，and the results of the two methods were compared and analyzed. Results Among 31 cases，6 cases were diagnosed with non-hypospadias and 25 cases with severe hypospadias.The accuracy of 3DUS(67.74%)in the diagnosis of severe hypospadias was not statistically different from that of 2DUS(64.52%)( χ2＝0.072，P＝0.788). The accuracy of 2DUS combined with 3DUS in the diagnosis of severe hypospadias(90.32%)were significantly higher than 2DUS or 3DUSindividually，and the difference was statistically significant(2DUS+3DUS vs. 2DUS:χ2＝5.905，P＝0.015；2DUS+3DUS vs. 3DUS:χ2＝4.769，P＝0.029).Conclusion 2DUS combined with 3DUS in the diagnosis of fetal severe hypospadias，compared to the 2DUS or 3DUS individual detection，can significantly improve the accuracy，which is worthy of the clinical promotion and application. |
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