临床误诊误治2023，Vol.36Issue(10) ：65-68,116.DOI:10.3969/j.issn.1002-3429.2023.10.015

超声自由解剖成像和MRI诊断孕中晚期胎儿颅脑畸形的差异性和一致性对比分析

Comparative Analysis of the Difference and Consistency Between Ultra-sound Free Anatomic Imaging and MRI in the Diagnosis of Fetal Cranioce-rebral Malformation in the Middle and Late Pregnancy

李光 李鑫 曹晖 郭全伟 董建敏 张金辉
临床误诊误治2023，Vol.36Issue(10) ：65-68,116.DOI:10.3969/j.issn.1002-3429.2023.10.015
✕
  • 维普
  • 万方数据

超声自由解剖成像和MRI诊断孕中晚期胎儿颅脑畸形的差异性和一致性对比分析

Comparative Analysis of the Difference and Consistency Between Ultra-sound Free Anatomic Imaging and MRI in the Diagnosis of Fetal Cranioce-rebral Malformation in the Middle and Late Pregnancy

李光 1李鑫 2曹晖 3郭全伟 1董建敏 1张金辉1
扫码查看

作者信息

  • 1. 063000 河北唐山,唐山市妇幼保健院超声医学科
  • 2. 063000 河北唐山,唐山市妇幼保健院放射科
  • 3. 063000 河北唐山,唐山市妇幼保健院妇科
  • 折叠

摘要

目的 对比分析超声自由解剖成像和MRI诊断孕中晚期胎儿颅脑畸形的差异性和一致性.方法 选取2018 年1 月—2021 年12 月170 例孕中晚期胎儿颅脑畸形病例,回顾分析其产前超声自由解剖成像和MRI检查情况,统计超声自由解剖成像和MRI检查诊断胎儿颅脑畸形的结果,分析超声自由解剖成像和MRI检查的检出情况,评估超声自由解剖成像和MRI检查获取的图像情况.结果 超声自由解剖成像和MRI检查不同类型胎儿颅脑畸形的诊断结果差异无统计学意义(P＞0.05).MRI检查的诊断准确率明显高于超声自由解剖成像,误诊率及漏诊率低于超声自由解剖成像(P＜0.05,P＜0.01).MRI检查敏感度及特异度明显高于超声自由解剖成像(P＜0.01).MRI检查的图像合格率为99.41%(169/170)高于超声自由解剖成像的 88.82%(151/170)(P＜0.01).结论 相较于超声自由解剖成像,MRI检查在孕中晚期胎儿颅脑畸形诊断中具有良好的准确率、敏感度、特异度和图像合格率,且误诊率及漏诊率较低,应用效果更佳.但在临床中,医师需根据胎儿实际情况选择合适的诊断方式.

Abstract

Objective To compare and analyze the difference and consistency of ultrasound free anatomical imaging and MRI in the diagnosis of fetal craniocerebral malformation in the middle and late pregnancy.Methods From January 2018 to December 2021,170 patients with fetal craniocerebral malformation in the middle and late pregnancy were selected,and the prenatal ultrasound free anatomical imaging and MRI were retrospectively analyzed.The results of diagnosis of fetal craniocere-bral malformation by ultrasound free anatomical imaging and MRI were calculated,and the detection status of ultrasound free anatomical imaging and MRI examination were analyzed.The images obtained by ultrasound free anatomical imaging and MRI were evaluated.Results There was no significant difference in the diagnostic results of different types of fetal craniocerebral malformation between ultrasound free anatomical imaging and MRI(P＞0.05).The diagnostic accuracy of MRI was signifi-cantly higher than that of ultrasound free anatomical imaging,and the rate of misdiagnosis and missed diagnosis was lower than that of ultrasound free anatomical imaging(P＜0.05,P＜0.01).The sensitivity and specificity of MRI were significantly higher than that of ultrasound free anatomical imaging(P＜0.01).The qualified rate of MRI was99.41%(169/170)com-pared with 88.82%(151/170)of ultrasound free anatomical imaging(P＜0.01).Conclusion Compared with ultrasound free anatomical imaging,MRI has good accuracy,sensitivity,specificity and image qualification rate in the diagnosis of fetal craniocerebral malformation in the middle and late pregnancy,and the rate of misdiagnosis and missed diagnosis is lower,and the application effect is better.However,in clinical practice,the doctor needs to choose the appropriate diagnostic method ac-cording to the actual situation of the fetus.

关键词

颅脑畸形/胎儿/超声自由解剖成像/MRI/孕中晚期/诊断效能/差异性/图像合格率

Key words

Craniocerebral malformation/Fetus/Ultrasonic free anatomical imaging/MRI/Middle and late pregnan-cy/Diagnostic effectiveness/Difference/Image qualification rate

引用本文复制引用

基金项目

河北省医学科学研究课题计划(20211667)

出版年

2023
临床误诊误治
解放军白求恩国际和平医院

临床误诊误治

CSTPCD
影响因子：0.914
ISSN：1002-3429
参考文献量20
段落导航相关论文