cmedasНепрерывное медицинское образование и наукаContinuing Medical Education and Science2949-62923033-585XAGUhttps://cmedas.elpub.ru/jour/article/view/162cmedas-162Research ArticleАКУШЕРСТВО И ГИНЕКОЛОГИЯOBSTETRICS AND GYNECOLOGYПерспективы и ограничения ультразвуковой диагностики врожденных пороков развития плода в первом триместре беременности. ОбзорProspects and limitations of ultrasound diagnostics of congenital developmental defects of the fetus in the first trimester of pregnancy. A reviewМозерА. И.MozerA. I.

Мозер Анжелика Ионио, врач-резидент радиолог

Адрес: 100000, Республика Казахстан, г. Караганда, ул. Гоголя, 40

Karaganda

ПакЭ. И.PakE. I.

Пак Элина Ильинична, врач-резидент радиолог

г. Караганда

Karaganda

pake@qmu.kzМагазН. А.MagazN. A.

Магаз Назерке Асқарқызы, врач-резидент радиолог

г. Караганда

Karaganda

mza11122@gmail.comНекоммерческое акционерное общество «Медицинский университет Караганды»КазахстанNon-profit Joint Stock Company «Karaganda Medical University»Kazakhstan2024281020241932532Copyright © Мозер А.И., Пак Э.И., Магаз Н.А., 20242024Мозер А.И., Пак Э.И., Магаз Н.А.Mozer A.I., Pak E.I., Magaz N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cmedas.elpub.ru/jour/article/view/162Введение

Введение. В статье подчеркивается роль ультразвукового исследования (УЗИ) в раннем выявлении врожденных пороков развития (ВПР), особенно важных для здоровья и жизни будущего ребенка. Акцент делается на значении скрининга в первом триместре беременности для определения серьезных аномалий, таких как врожденные пороки сердца (ВПС).

Цель

Цель. Осветить текущее состояние и будущие перспективы использования УЗИ в первом триместре для диагностики ВПР, подчеркнув важность этого подхода для улучшения исходов беременности и здоровья новорожденных.

Материалы и методы

Материалы и методы. Поиск литературы был выполнен в базах данных PubMed, Scopus и Web of Science. Обзор охватывает ретроспективные и проспективные исследования, опубликованные в медицинских журналах, с акцентом на чувствительность и специфичность УЗИ.

Результаты и обсуждение

Результаты и обсуждение. Представлены результаты анализа данных о чувствительности и специфичности УЗИ в различных исследованиях, а также обсуждается влияние квалификации специалистов и качества оборудования на точность диагностики. Рассматриваются технические возможности и ограничения УЗИ, а также перспективы развития методик пренатального скрининга.

Заключение

Заключение. УЗИ в первом триместре представляет собой важный инструмент для раннего выявления ВПР. Необходимо дальнейшее совершенствование методов УЗИ, обучение специалистов и стандартизация протоколов исследования для улучшения эффективности скрининга.

Introduction

Introduction. The article emphasizes the role of ultrasound (US) in the early detection of congenital developmental defects (CDD), particularly those crucial for the health and life of the future child. Focus is placed on the importance of screening in the first trimester of pregnancy to identify serious anomalies such as congenital heart defects (CHD).

Purpose

Purpose. To illuminate the current state and future prospects of using US in the first trimester for diagnosing CDD, underscoring the significance of this approach for improving pregnancy outcomes and newborn health.

Materials and Methods

Materials and Methods. A literature search was conducted in the PubMed, Scopus, and Web of Science databases. The review covers retrospective and prospective studies published in medical journals, with an emphasis on the sensitivity and specificity of US.

Results and Discussion

Results and Discussion. Results of data analysis on the sensitivity and specificity of US in various studies are presented, along with a discussion on the impact of specialist qualifications and equipment quality on diagnostic accuracy. Technical capabilities and limitations of US, as well as the prospects for developing prenatal screening techniques, are considered.

Conclusion

Conclusion. US in the first trimester is a crucial tool for the early detection of CDD. Further improvement of US methods, specialist training, and standardization of research protocols are needed to enhance screening efficiency.

ультразвуковое исследованиеврожденные пороки развитияврожденные пороки сердцапренатальный скринингчувствительность и специфичность УЗИultrasound examinationcongenital developmental defectscongenital heart defectsprenatal screeningsensitivity and specificity of ultrasounReferencesDuc N. M. et al. Detecting fetal central nervous system anomalies using magnetic resonance imaging and ultrasound //Medical Archives. – 2021. – Т. 75. – №. 1. – С. 45.Duc N. M. et al. Detecting fetal central nervous system anomalies using magnetic resonance imaging and ultrasound //Medical Archives. – 2021. – Т. 75. – №. 1. – С. 45.Pimentel I., Costa J., Tavares Ó. Fetal MRI vs. fetal ultrasound in the diagnosis of pathologies of the central nervous system // European Journal of Public Health. – 2021. – Т. 31. – №. Supplement_2. – С. ckab120. 079Pimentel I., Costa J., Tavares Ó. 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The authors declare that there are no conflicts of interest present.