摘要
目的:探讨超声快速筛查胎儿心脏的方法。方法:对4 501例孕20～28周的孕妇进行系统胎儿超声检查,重点观察胎儿心脏。心脏检查方法是:确定胎方位,确定胃泡与肝脏的位置,采用四腔心切面头侧偏转法获得四腔心、左室流出道、右室流出道、三血管或三血管气管切面,如有异常者进行超声心动图检查,用顺序节段法进行分析。结果:检出心脏畸形26例,漏诊3例;孕周在22～25周,胎儿处于脊后位时检查时间最短。结论:四腔心切面头侧偏转法是一种简单、快速、易掌握、可靠的胎儿心脏筛查方法,孕周在22～25周,胎儿处于脊后位时检查,可提高筛查速度,减少漏诊率。
Objective：To explore the method of rapid screening of fetal heart by ultrasonography. Methods：4 501 pregnant women of 2028 gestational weeks underwent systemic fetal ultrasonography,the key point of observation was fetal heart.The method of screening fetal heart： located fetal position,located the positions of stomach bubble and liver;FCPTC was adopted to obtain four-chamber view,left ventricular outflow tract view,right ventricular outflow tract view,three-vessel view or three-vessel and trachea view,the cases with abnormal results received ultrasonography,sequential segmental method was used to analyze the results. Results：26 cases were diagnosed with congenital heart malformations,and three cases failed to be diagnosed.For the pregnant women of 2225 gestational weeks,the screening time of fetuses of posterior position was the shortest. Conclusion：FCPTC is a simple,rapid,easy and reliable method for screening of fetal heart;during 2025 gestational weeks,when the fetuses are in posterior position,the speed of screening can be increased,and the missed diagnosis can be decreased
出处
《中国妇幼保健》
CAS
北大核心
2011年第11期1717-1718,共2页
Maternal and Child Health Care of China
基金
广西贵港市科技局科研项目〔0912001〕
关键词
超声快速筛查
胎儿
先天性心脏病
Rapid screening of ultrasound
Fetus
Congenital heart disease
