摘要
目的探讨产前系统胎儿超声筛查胎儿心脏畸形的价值。资料与方法系统检查5224例产前胎儿的头颅、颜面部、脊柱、心脏、腹部脏器、四肢等结构,采用四腔心切面头侧偏转法获得四腔心切面、左心室流出道切面、右心室流出道切面的彩色多普勒超声和频谱多普勒超声图像,并进行分析。结果共检出11例心脏畸形,其中右心房增大合并三尖瓣反流3例,室间隔缺损2例,左心室发育不良合并主动脉狭窄1例,左心室发育不良合并二尖瓣狭窄及主动脉瓣闭锁1例,主动脉狭窄1例,三尖瓣下移畸形1例,大动脉转位1例,法洛四联症1例。漏诊1例。结论系统胎儿超声检查作为胎儿先天性心脏畸形的筛查手段简便易行,具有较高的准确率。
Purpose To evaluate the value of systemic ultrasonography in screening fetal congenital heart malformation. Materials and Methods A total of 5224 pregnant women underwent systemic ultrasonography to check fetal organs such as head, face, spine, heart, abdomen and limbs. Color Doppler and frequency spectrum Doppler images of four chamber view, left ventricle outflow tract view and right ventricle outflow tract view were obtained and analyzed by using tour-chamber view with probe tilting craniad slightly technique. Results Eleven cases showed congenital cardiac maltbrmations （three cases of right atrial dilatation＋tricuspid regurgitation, two cases of ventricular septal defect, one case of left heart dysplasias＋aortic stenosis, one case of left heart dysplasias＋mitral stenosis＋aortic atresia, one case of aortic stenosis, one case of Ebstein＇s anomaly, one case of transposition of conducting arteries, one case of tetralogy of Fallot） and 1 case rnisdiagnosed. Conclusion Systemic fetal ultrasonography is simple and convenient with relatively high accuracy, which can be recommended in screening for fetal heart malformation.
出处
《中国医学影像学杂志》
CSCD
北大核心
2013年第12期939-941,共3页
Chinese Journal of Medical Imaging
关键词
胎儿心脏
心脏缺损
先天性
超声检查
产前
普查
Fetal heart
Heart defects, congenital
Ultrasonography, prenatal, Mass screening
