胎儿心脏超声检查常见误诊与漏诊分析

发布时间：2018-09-02 06:53

【摘要】：目的分析胎儿心脏超声检查中几种较常见易误诊、漏诊疾病的超声特点。方法回顾性分析接受胎儿心脏超声检查6745名孕妇共6848胎和出生后接受随访的332例新生儿和婴幼儿资料,分析常见易误诊、漏诊疾病的超声特点。结果心脏畸形胎儿969胎,其中2胎完全型大动脉转位为首诊漏诊,5胎卵圆孔受限误诊为左心室发育不良。出生后于我院随访的新生儿及婴幼儿332例,与出生前检查结果不一致者9例,包括产前可疑轻度主动脉缩窄而出生后正常5例、产前诊断肺动脉瓣狭窄但出生后未见异常1例、漏诊威廉综合征2例、漏诊心内型肺静脉异位引流1例。结论胎儿心脏超声检查中一些心脏畸形极易漏诊和误诊,对这些疾病的诊断困境和难点进行关注和探讨,有助于提高产前诊断质量。
[Abstract]:Objective to analyze the ultrasonic characteristics of some common misdiagnosis and missed diagnosis diseases in fetal heart echocardiography. Methods retrospective analysis was made on the data of 6848 newborns and infants who received fetal echocardiography in 6848 fetuses and postnatal follow-up in 6745 pregnant women. The characteristics of common misdiagnosis and missed diagnosis were analyzed. Results 969 fetuses with cardiac malformation were misdiagnosed as left ventricular dysplasia by transposition of complete great arteries in 2 of them. Of 332 newborns and infants followed up in our hospital after birth, 9 cases were not consistent with the results of pre-birth examination, including 5 cases of suspected mild constriction of the aorta before delivery and 5 cases of postnatal normal. One case was diagnosed by prenatal diagnosis of pulmonary valve stenosis, but 1 case was not abnormal after birth. Missed diagnosis of William's syndrome in 2 cases, missed diagnosis of intracardiac anomalous pulmonary venous drainage in 1 case. Conclusion some heart malformations are easy to be missed and misdiagnosed in fetal heart echocardiography. It is helpful to improve the quality of prenatal diagnosis by paying close attention to the difficulties and difficulties in the diagnosis of these diseases.
【作者单位】：首都医科大学附属北京安贞医院超声科胎儿心脏病母胎医学研究北京市重点实验室;
【基金】：国家自然科学基金(81171350)
【分类号】：R445.1;R714.5

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