三维及二维超声在胎儿脊髓圆锥定位中的应用价值
合集下载
- 1、下载文档前请自行甄别文档内容的完整性，平台不提供额外的编辑、内容补充、找答案等附加服务。
- 2、"仅部分预览"的文档,不可在线预览部分如存在完整性等问题,可反馈申请退款(可完整预览的文档不适用该条件!)。
- 3、如文档侵犯您的权益，请联系客服反馈,我们会尽快为您处理(人工客服工作时间：9:00-18:30)。
【Abstract】 Objective To explore the application value of three-dimensional and two-dimensional ultrasound in positioning fetal conus medullaris. Methods A total of 268 pregnant women with singleton with 19 to 37 weeks of normal pregnancy from January 2017 to January 2019 in Fuyong People's Hospital of Bao'an District of Shenzhen were
确识别其位置，极大提高了判断胎儿脊髓圆锥方位的准确性，临床诊断价值高。
【关键词】 脊髓栓系综合征；脊髓圆锥；胎儿；超声检查；二维超声；三维超声；VCI 技术
【中图分类号】 R714.51 【文献标识码】 A 【文章编号】 1003—6350（2019）17—2262—03
Application value of three-dimensional and two-dimensional ultrasound in positioning fetal conus medullaris. TANG Xiao-fang, LIU Le-le, WU Juan. Department of Ultrasound, Fuyong People's Hospital of Baoan District of Shenzhen, Shenzhen 518103, Guangdong, CHINA
(VCI) technique, and the Kappa value was 1.0, which showed good consistency in the results of positioning fetal conus
medullaris. There were no statistically significant difference in the position of fetal conus medullaris between the 19 and 37 weeks of pregnancy (P>0.05), but with significant difference between 19 weeks and 20 to 37 weeks of pregnancy (P< 0.05), as well as between 20 weeks of pregnancy and 22 weeks of pregnancy (P<0.05). There were no statistically significant difference among 22 to 27 weeks of pregnancy (P>0.05), but with statistically significant difference between 22 to 27 weeks of pregnancy and more than 28 weeks (P<0.05), as well as between 28 to 29 weeks of pregnancy and 30 weeks of pregnancy (P<0.05). There were no statistically significant difference among 30 to 33 weeks of gestation (P> 0.05), but with statistically significant difference between 30 to 33 weeks of gestation and more than 34 weeks of gestation (P<0.05). There were no statistically significant difference among 34 to 36 weeks of pregnancy (P>0.05), but with statistically significant difference between 34 to 36 weeks of pregnancy and 37 weeks of pregnancy (P<0.05). Linear regression results showed a positive correlation between gestational age and fetal spinal cone position (r=0.807, P< 0.05). Conclusion Three-dimensional and two-dimensional ultrasound examinations are satisfactory for the fetal spinal conical positioning. The two-dimensional ultrasonography and three-dimensional ultrasound VCI technology clearly
doi:10Байду номын сангаас3969/j.issn.1003-6350.2019.17.027
Hainan Med J, Sep. 2019, Vol. 30, No. 17
·论著·
三维及二维超声在胎儿脊髓圆锥定位中的应用价值
汤小芳，刘乐乐，吴娟 深圳市宝安区福永人民医院超声科，广东 深圳 518103
【摘要】 目的 探讨三维及二维超声在胎儿脊髓圆锥定位中的应用价值。方法 选取 2017 年 1 月至 2019 年
1 月在深圳市宝安区福永人民医院门诊接诊的正常孕 19~37 周的 268 例单胎孕妇为研究对象，采用三维及二维超声
检查，检测不同孕周胎儿脊髓圆锥方位，并对其进行线性回归分析。结果 268 例胎儿脊髓圆锥检查中，二维超声
检查与三维超声 VCI 技术水平大致相同，Kappa 值为 1.0，在胎儿脊髓圆锥方位检测结果中表现出较好一致性；孕 19~37 周之间各孕周胎儿脊髓圆锥方位比较，差异无统计学意义(P>0.05)；对比孕 19 周与 20~37 周之间各孕周胎儿 脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 20 周与孕 22 周以上各孕周胎儿脊髓圆锥方位，差异有统计学意 义(P<0.05)；比较孕 22~27 周之间各孕周胎儿脊髓圆锥方位，差异无统计学意义(P>0.05)；比较 22~27 周与孕 28 周以 上各孕周胎儿脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 28~29 周与孕 30 周以上各孕周胎儿脊髓圆锥方 位，差异有统计学意义(P<0.05)；比较孕 30~33 周之间各孕周胎儿脊髓圆锥方位，差异无统计学意义(P>0.05)；比较 孕 30~33 周与孕 34 周以上各孕周胎儿脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 34~36 周之间各孕周胎儿 脊髓圆锥方位差异无统计学意义(P>0.05)；对比孕 34~36 周与孕 37 周胎儿脊髓圆锥方位，差异均有统计学意义(P< 0.05)；线性回归结果显示，孕周与胎儿脊髓圆锥方位呈正相关(r=0.807，P<0.05)。结论 三维及二维超声检查对胎 儿脊髓圆锥定位效果满意，二维超声检查与三维超声 VCI 技术均清晰显示出胎儿脊髓圆锥方位和形态，有助于准
selected as subjects, and three-dimensional and two-dimensional ultrasound examinations were used to localize the fetal
conus medullaris in different gestational weeks. Linear regression analysis was performed. Results Among the 268 cases, the two-dimensional ultrasonography was similar to three-dimensional ultrasonography in volume contrast imaging
确识别其位置，极大提高了判断胎儿脊髓圆锥方位的准确性，临床诊断价值高。
【关键词】 脊髓栓系综合征；脊髓圆锥；胎儿；超声检查；二维超声；三维超声；VCI 技术
【中图分类号】 R714.51 【文献标识码】 A 【文章编号】 1003—6350（2019）17—2262—03
Application value of three-dimensional and two-dimensional ultrasound in positioning fetal conus medullaris. TANG Xiao-fang, LIU Le-le, WU Juan. Department of Ultrasound, Fuyong People's Hospital of Baoan District of Shenzhen, Shenzhen 518103, Guangdong, CHINA
(VCI) technique, and the Kappa value was 1.0, which showed good consistency in the results of positioning fetal conus
medullaris. There were no statistically significant difference in the position of fetal conus medullaris between the 19 and 37 weeks of pregnancy (P>0.05), but with significant difference between 19 weeks and 20 to 37 weeks of pregnancy (P< 0.05), as well as between 20 weeks of pregnancy and 22 weeks of pregnancy (P<0.05). There were no statistically significant difference among 22 to 27 weeks of pregnancy (P>0.05), but with statistically significant difference between 22 to 27 weeks of pregnancy and more than 28 weeks (P<0.05), as well as between 28 to 29 weeks of pregnancy and 30 weeks of pregnancy (P<0.05). There were no statistically significant difference among 30 to 33 weeks of gestation (P> 0.05), but with statistically significant difference between 30 to 33 weeks of gestation and more than 34 weeks of gestation (P<0.05). There were no statistically significant difference among 34 to 36 weeks of pregnancy (P>0.05), but with statistically significant difference between 34 to 36 weeks of pregnancy and 37 weeks of pregnancy (P<0.05). Linear regression results showed a positive correlation between gestational age and fetal spinal cone position (r=0.807, P< 0.05). Conclusion Three-dimensional and two-dimensional ultrasound examinations are satisfactory for the fetal spinal conical positioning. The two-dimensional ultrasonography and three-dimensional ultrasound VCI technology clearly
doi:10Байду номын сангаас3969/j.issn.1003-6350.2019.17.027
Hainan Med J, Sep. 2019, Vol. 30, No. 17
·论著·
三维及二维超声在胎儿脊髓圆锥定位中的应用价值
汤小芳，刘乐乐，吴娟 深圳市宝安区福永人民医院超声科，广东 深圳 518103
【摘要】 目的 探讨三维及二维超声在胎儿脊髓圆锥定位中的应用价值。方法 选取 2017 年 1 月至 2019 年
1 月在深圳市宝安区福永人民医院门诊接诊的正常孕 19~37 周的 268 例单胎孕妇为研究对象，采用三维及二维超声
检查，检测不同孕周胎儿脊髓圆锥方位，并对其进行线性回归分析。结果 268 例胎儿脊髓圆锥检查中，二维超声
检查与三维超声 VCI 技术水平大致相同，Kappa 值为 1.0，在胎儿脊髓圆锥方位检测结果中表现出较好一致性；孕 19~37 周之间各孕周胎儿脊髓圆锥方位比较，差异无统计学意义(P>0.05)；对比孕 19 周与 20~37 周之间各孕周胎儿 脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 20 周与孕 22 周以上各孕周胎儿脊髓圆锥方位，差异有统计学意 义(P<0.05)；比较孕 22~27 周之间各孕周胎儿脊髓圆锥方位，差异无统计学意义(P>0.05)；比较 22~27 周与孕 28 周以 上各孕周胎儿脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 28~29 周与孕 30 周以上各孕周胎儿脊髓圆锥方 位，差异有统计学意义(P<0.05)；比较孕 30~33 周之间各孕周胎儿脊髓圆锥方位，差异无统计学意义(P>0.05)；比较 孕 30~33 周与孕 34 周以上各孕周胎儿脊髓圆锥方位，差异有统计学意义(P<0.05)；比较孕 34~36 周之间各孕周胎儿 脊髓圆锥方位差异无统计学意义(P>0.05)；对比孕 34~36 周与孕 37 周胎儿脊髓圆锥方位，差异均有统计学意义(P< 0.05)；线性回归结果显示，孕周与胎儿脊髓圆锥方位呈正相关(r=0.807，P<0.05)。结论 三维及二维超声检查对胎 儿脊髓圆锥定位效果满意，二维超声检查与三维超声 VCI 技术均清晰显示出胎儿脊髓圆锥方位和形态，有助于准
selected as subjects, and three-dimensional and two-dimensional ultrasound examinations were used to localize the fetal
conus medullaris in different gestational weeks. Linear regression analysis was performed. Results Among the 268 cases, the two-dimensional ultrasonography was similar to three-dimensional ultrasonography in volume contrast imaging