首页|胎儿胼胝体发育不良产前彩色多普勒超声图像特点及诊断效能分析

胎儿胼胝体发育不良产前彩色多普勒超声图像特点及诊断效能分析

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目的:探讨胎儿胼胝体发育不良的产前彩色多普勒超声图像特点及其诊断效能.方法:回顾性分析2022年9月至2023年8月间在绵阳市第三人民医院就诊的150例孕妇产前彩色多普勒超声检查结果,评估胎儿胼胝体发育情况.以"金标准"(产后新生儿MRI检查)对比超声诊断结果,通过Kappa检验分析其一致性,并探讨超声图像特征及诊断效能.结果:产前彩色多普勒超声显示,在45例经"金标准"确认的胼胝体发育不良胎儿中,超声准确识别43例,灵敏度达96.47%,特异度99.92%,准确度99.93%.超声图像特征包括胼胝体形态异常、局部回声减弱、侧脑室扩张及羊水过多.多因素回归分析确定了多项危险因素,并建立了预测模型,预测准确度为91.5%.结论:产前彩色多普勒超声对胎儿胼胝体发育不良具有高效诊断能力,结合图像特征分析和危险因素评估,有助于临床早期干预和改善围生儿预后.
Characteristics and Diagnostic Efficacy of Prenatal Color Doppler Ultrasonography in Fetal Corpus Callosum Dysplasia
Objective:The aim of this study is to investigate the image characteristics and diagnostic efficacy of prenatal color Doppler ultrasound in fetal corpus callosum dysplasia.Methods:The results of prenatal color Doppler ultrasound of 150 pregnant women who were admitted to the Third Hospital of Mianyang from September 2022 to August 2023 were retrospectively analyzed to evaluate the development of fetal corpus callosum.The'gold standard'(postnatal neonatal MRI)was used to compare the results of ultrasound diagnosis,and Kappa test was used to analyze their consistency,and to explore the characteristics of ultrasound images and diagnostic efficacy.Results:Prenatal color Doppler ultrasound showed that among the 45 fetuses with corpus callosum dysplasia confirmed by the'gold standard',ultrasound accurately identified 43 cases,with a sensitivity of 96.47%,specificity of 99.92%,and accuracy of 99.93%.Ultrasound features included abnormal morphology of the corpus callosum,local hypoechogenicity,lateral ventricular dilatation and polyhydramnios.Multivariate regression analysis identified a number of risk factors and established a prediction model,and the prediction accuracy was 91.5%.Conclusion:Prenatal color Doppler ultrasound has high efficiency in the diagnosis of fetal corpus callosum dysplasia.Combined with image feature analysis and risk factor assessment,it is helpful for early clinical intervention and improvement of perinatal prognosis.

prenatal color Doppler ultrasoundfetal corpus callosum dysplasiadiagnostic efficacyimaging features

何敏、潘晓琴、何伟仪、何新悦、钟雪梅、黄国旗

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绵阳市第三人民医院(四川省精神卫生中心)超声科,四川 621000

产前彩色多普勒超声 胎儿胼胝体发育不良 诊断效能 图像特点

2025

影像科学与光化学
中国科学院理化技术研究所 中国感光学会

影像科学与光化学

影响因子:0.287
ISSN:1674-0475
年,卷(期):2025.43(1)