单纯室间隔缺损的产前及产后超声诊断分析

发布时间：2018-05-22 13:40

本文选题：胎儿 + 超声心动描记术　；参考：《中国医学影像技术》2017年04期

【摘要】：目的探讨单纯性室间隔缺损产前及产后超声表现的差异。方法回顾性分析244例单纯性室间隔缺损患儿超声心动图资料,对患儿随访至出生后1年。与产后结果对比,将产前检查的胎儿分为正确组和错误组,评价室间隔缺损类型、大小及心室水平分流情况并进行统计学分析。结果 244例患儿中,正确组181例,错误组63例;两组缺损类型差异无统计学意义(P=0.061);两组产后缺损大小和分流速度差异有统计学意义(P均0.05),分流方向差异无统计学意义(P=0.408);正确组产前和产后缺损大小差异有统计学意义(P0.05),分流方向差异无统计学意义(P=0.087)。结论产前超声可检出单纯性室间隔缺损,缺损本身的解剖特点可能影响产前检查结果,同一病变产前产后超声表现差异明显。
[Abstract]:Objective to investigate the difference of pre- and postnatal ultrasound findings in simple ventricular septal defect (VSD). Methods the echocardiographic data of 244 children with simple ventricular septal defect (VSD) were retrospectively analyzed and followed up to 1 year after birth. Compared with the postpartum results, the fetuses examined before delivery were divided into correct group and wrong group. The type, size and ventricular shunt of ventricular septal defect were evaluated and statistically analyzed. Results of 244 cases, 181 cases were in the correct group and 63 cases in the wrong group. There was no significant difference in the type of defect between the two groups (P = 0.061), there were significant differences in the size and shunt speed of postpartum defect between the two groups (P < 0.05), and there was no significant difference in shunt direction between the two groups. There were significant differences in the size of defect between the right group and the postpartum group. There was no significant difference in the direction of diversion between P 0.05 and P 0.087. Conclusion simple ventricular septal defect can be detected by prenatal ultrasound. The anatomic characteristics of the defect may affect the results of prenatal examination.
【作者单位】：四川大学华西第二医院超声科妇儿疾病与出生缺陷教育部重点实验室;
【基金】：成都市科技惠民项目(2014-HM01-00015-SF) 四川省科技厅软科学计划(2014ZR0209) 重大出生缺陷防治技术开发及应用研究(2014BA106B00) 四川省卫生和计划生育委员会项目(130121)
【分类号】：R714.5;R445.1

【参考文献】