产前超声诊断胎儿迷走右锁骨下动脉的临床应用效果
Clinical Application Effect of Prenatal Ultrasound Diagnosis of Fetal Aberrant Right Subclavian Artery
韦金宇 1文隽1
作者信息
- 1. 宜昌市妇幼保健院超声医学科,湖北 宜昌 443000
- 折叠
摘要
目的 探讨产前超声诊断胎儿迷走右锁骨下动脉(aberrant right subclavian artery,ARSA)的价值.方法 选取2021年6月—2023年6月宜昌市妇幼保健院收治的80例孕妇为研究对象,所有孕妇均实施二维超声、四维超声检查.以临床综合诊断结果为金标准,分析各两种超声检查的疾病检出情况、诊断效能.结果 二维超声检出阳性28例,阴性52例;四维超声检出阳性41例,阴性39例.四维超声检查灵敏度为95.24%(40/42)、特异度为97.37%(37/38)、准确度为96.25%(77/80),高于二维超声检查的52.38%(22/42)、84.21%(32/38)、67.50%(52/80),差异有统计学意义(χ2=19.953、3.933、22.279,P均<0.05).四维超声对食管后型、食管和气管之间型、气管前方型右锁骨下动脉迷走的诊断符合率高于二维超声检查,差异有统计学意义(P<0.05).结论 在胎儿ARSA诊断中,产前四维超声检查可明确具体畸形情况,为下一步医疗操作提供参考.
Abstract
Objective To explore the value of prenatal ultrasound diagnosis in fetal Aberrant right subcla-vian artery(ARSA).Methods A total of 80 pregnant women admitted to Yichang Maternity&Child Health care Hospital from June 2021 to June 2023 were selected as the research objects.All pregnant women were exam-ined by two-dimensional ultrasound and four-dimensional ultrasound.The clinical comprehensive diagnosis re-sults were used as the gold standard to analyze the disease detection and diagnostic efficacy of the two ultra-sound examinations.Results Two-dimensional ultrasound detected 28 positive cases and 52 negative cases.Four-dimensional ultrasound detected 41 positive cases and 39 negative cases.The sensitivity,specificity and accuracy of four-dimensional ultrasound were 95.24%(40/42),97.37%(37/38)and 96.25%(77/80),which were higher than 52.38%(22/42),84.21%(32/38)and 67.50%(52/80)of two-dimensional ultrasound,and the differences were statistically significant(χ2=19.953,3.933,22.279,all P<0.05).The coincidence rate of four-dimensional ultrasound in the diagnosis of right subclavian artery vagal in the posterior esophagus,between esophagus and trachea,and anterior trachea was higher than that of two-dimensional ultrasound,and the differ-ence was statistically significant(P<0.05).Conclusion Prenatal four-dimensional ultrasound examination in the diagnosis of fetal ARSA can clarify the specific malformation situation and provide reference for determining the next medical operation.
关键词
产前超声/诊断/胎儿/迷走右锁骨下动脉Key words
Prenatal ultrasound/Diagnosis/Fetal/Aberrant right subclavian artery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据