三维超声时间空间联合成像技术对早孕期胎儿心脏畸形的筛查价值（英文）

发布时间：2018-03-19 21:24

本文选题：三维超声　切入点：时间空间复合成像技术　出处：《中山大学学报(医学科学版)》2017年04期 　论文类型：期刊论文

【摘要】：【目的】三维超声时间空间联合成像技术对早孕期胎儿心脏畸形筛查的临床应用价值。【方法】回顾性分析2013年1月4日至2016年6月30日在我院行早孕期心脏筛查且产前可疑心脏畸形共87例,与追踪结果比较,分析三维超声时间空间联合成像技术对心脏畸形诊断的价值,同时分析不同切面包括四腔心切面、左心室流出道切面、右心室流出道切面及三血管-气管切面的诊断价值。【结果】纳入本研究的87例病例中,包括严重心脏畸形62例(71.3%,62/87)和非严重心脏异常25例(28.7%,25/87)。与出生后超声心动图或引产后尸检结果比较,应用三维超声STIC技术共分析诊断正确心脏畸形78例(89.7%)。单纯四腔心切面对心脏畸形的检出率为48.3%(42/87),四腔心切面联合左心室流出道切面的检出率为64.4%(56/87),四腔心切面联合右心室流出道切面的检出率为66.7%(58/87),四腔心切面联合三血管气管切面的检出率为79.3%(69/87),四腔心切面联合左心室、右心室流出道切面及三血管气管切面的检出率为89.7%(78/87)。【结论】三维超声时间空间联合成像技术可在早孕期进行胎儿心脏筛查,联合四腔心切面、左右心室流出道及三血管气管切面筛查可提高心脏畸形的检出率。
[Abstract]:[objective] to evaluate the clinical value of three dimensional ultrasonography combined with time space imaging in the screening of fetal heart malformation during early pregnancy. [methods] retrospective analysis was conducted from January 4th 2013 to June 30th 2016 in our hospital for early pregnancy cardiac screening. There were 87 cases of suspected cardiac malformation before birth. Compared with the results of tracking, the value of 3D ultrasound combined time and space imaging in the diagnosis of cardiac malformation was analyzed. At the same time, different sections, including four-chamber section and left ventricular outflow tract section, were analyzed. Diagnostic value of right ventricular outflow tract section and trivascular tracheostomy. [results] 87 cases were included in this study. Including 62 cases of severe cardiac malformation and 62 cases of severe cardiac malformation (62 / 87) and 25 cases of non-severe cardiac abnormalities (28.775 / 87). The results were compared with post-natal echocardiography or autopsy after induced labor. A total of 78 cases of correct cardiac malformation were diagnosed by three-dimensional STIC. The detection rate of quadrilateral centerotomy combined with left ventricular outflow tract was 48.2 / 87g, 48.3r / 87g, 64.4% / 87m, 48.3r / 87g, respectively, respectively, and that of four-chamber section combined with right ventricular outflow tract was 64.4% -87.The detection rate of quadrilateral centerotomy combined with right ventricular outflow tract was 48.3% 87%, 64.4% 56.87% respectively. The detectable rate of ventricular outflow tract section was 66.7% / 87%, that of four-chamber central section combined with three-vessel tracheostomy was 79.3% 87%, that of four-chamber central section combined with left ventricle. The detectable rate of right ventricular outflow tract section and three-vessel tracheostomy was 89.7% / 87%. [conclusion] Three-dimensional ultrasound combined with space-time imaging can be used to screen fetal heart in early pregnancy, combined with four-chamber central section. Left and right ventricular outflow tract and three-vessel tracheostomy screening can improve the detection rate of cardiac malformation.
【作者单位】：海南省人民医院超声科;中山大学附属第一医院超声科;
【分类号】：R445.1;R714.5

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