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超声筛查胎儿浅表软组织包块技巧
冯声蓉,杨家翔,张文军,廖林,谭静,罗建强,常婷,王小芳
0
(成都市温江区妇幼保健院;四川省妇女儿童中心医院;四川省人民医院温江分院;成都西区安琪儿医院)
摘要:
【摘要】 目的 探讨二维及三维超声筛查胎儿浅表软组织包块的技巧。方法 采用垂直胎儿体表横切、纵切及切线位相结合的扫查方法对2016年1~12月在成都市温江区妇幼保健院及四川省妇女儿童中心医院接受系统筛查的9835例胎儿与2015年1~12月未采用该方法在医院接受系统筛查的9856例胎儿进行对比研究,分析两组胎儿浅表软组织包块阳性率的差异。结果 2016年采用垂直胎儿体表横切、纵切及切线位扫查相结合的方法筛查胎儿浅表软组织,其浅表软组织包块阳性率明显高于2015年未采用该方法筛查胎儿软组织的包块阳性率,差异有显著性(P<005),在2016年研究组的9835例胎儿筛查出13例软组织包块,阳性率为013%,出生或引产结果证实漏诊1例,2015年对照组的9856例胎儿筛查出3例浅表软组织包块,阳性率为003%,漏诊12例。结论 采用垂直胎儿体表横切、纵切及切线位相结合的扫查技巧筛查胎儿浅表软组织可明显提高浅表软组织包块的检出率,可在临床中推广应用。
关键词:  胎儿  浅表包块  超声检查技巧
DOI:
基金项目:四川省卫生厅科研课题(130533)
Skills of ultrasound screening for superficial soft tissue masses of fetus
FENG Shengrong,YANG Jiaxiang,ZHANG Wenjun,LIAO Lin,TAN Jing,LUO Jianqiang,CHANG Ting,WANG Xiaofang
(Chengdu Wenjiang District Maternal and Child Health Hospital;Sichuan Women and Children's Hospital, Chengdu;Wenjiang Branch of Sichuan Provincial People's Hospital;Angel Hospital of West Chengdu)
Abstract:
【Abstract】 Objective To explore the technique of screening twodimensional and threedimensional ultrasonography for superficial soft tissue mass in fetus. Methods The methods of vertical fetal body surface transection, longitudinal incision and tangent line scanning method were used to evaluate the effect of the fetus in Wenjiang District Maternal and Child Health Hospital and Sichuan Women and Children's Hospital from January to December 2016. The screening of 9835 fetuses and January 2015December 2015without this method in both homes of the system of 9856 fetuses were compared. Results In 2016, the positive rate of screening of superficial soft tissue mass in fetal fetus was significantly higher than that of the fetus soft tissue mass without screening in 2015 by the method of vertical fetal body surface transection, longitudinal incision and tangent scan. (P<005). In 2016, 13 cases of soft tissue mass were found in 9835 fetuses in the study group, the positive rate was 013%. The result of birth or induction of labor confirmed that one case had missed the right shoulder Hemangiomas (mass of about 2 cm, width of about 3 cm and thickness of about 02 cm) were enrolled in this study. Of the 9,556 fetuses in the control group in 2015, 3 cases of soft tissue mass were screened out, with a positive rate of 003% and 12 missed cases. Conclusion The screening of the superficial soft tissues of the fetus with the scanning technique of vertical fetal body surface transection, longitudinal incision and tangent line significantly improves the detection rate of superficial soft tissue mass.
Key words:  Fetus  Superficial mass  Ultrasound examination skills

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