胎儿心脏超声检查在产前筛查中的应用

发布时间：2018-04-17 00:14

本文选题：胎儿 + 胎儿先天性心脏病　；参考：《中国妇幼保健》2016年23期

【摘要】：目的探讨胎儿心脏超声检查在产前筛查中的临床价值。方法选取1 872例孕22~28周的孕妇,采用GE VOLUSON E8彩色多普勒超声诊断仪由胸部至腹部各个切面逐一扫查的方法,对胎儿心内结构及血流情况进行系统筛查。将诊断为胎儿心脏发育异常的病例结果与孕妇引产后的尸检结果和新生儿心脏超声检查结果进行比较。结果 1 872例胎儿中共33例出现了心脏结构异常的情况,其中经产前胎儿心脏彩超筛查确诊30例,漏诊3例,胎儿心脏超声检查胎儿心脏畸形诊断准确率为90.91%。漏诊的为室间隔缺损(肌部)2例,肺静脉异位引流1例。结论胎儿心脏超声检查作为一种经济、实用且无创的检查手段,对于胎儿先天性心脏病的检出率较高,有助于降低此类缺陷患儿的出生率,更好地落实优生优育政策。
[Abstract]:Objective to evaluate the clinical value of fetal echocardiography in prenatal screening.Methods A total of 1 872 pregnant women at 22 and 28 weeks of gestation were examined by GE VOLUSON E8 color Doppler echocardiography from chest to abdomen. The fetal heart structure and blood flow were screened systematically.The results of fetal cardiac dysplasia were compared with the results of postmortem examination after induced labor and the results of neonatal echocardiography.Results there were 33 cases of abnormal cardiac structure in 1 872 fetuses. Among them, 30 cases were diagnosed by prenatal fetal echocardiography, 3 cases missed diagnosis. The diagnostic accuracy of fetal heart malformation by fetal echocardiography was 90.91%.The missing diagnosis included ventricular septal defect (2 cases) and anomalous pulmonary venous drainage (1 case).Conclusion as an economical, practical and non-invasive method, fetal echocardiography has a high detection rate of congenital heart disease, which is helpful to reduce the birth rate of children with such defects and to carry out the policy of eugenics and breeding better.
【作者单位】：唐山市妇幼保健院超声科;
【基金】：河北省医学科学研究重点课题计划(20160841)
【分类号】：R714.5;R445.1

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