摘要
目的 探讨基层产前筛查医院常规开展胎儿超声心动图检查的临床价值.方法 对北京市昌平区妇幼保健院2011年9月至2014年11月,共22 570例孕妇行产前胎儿超声心动图检查,其中19 978例产后行新生儿超声心动图筛查.对产前检查出心脏异常病例转诊,与上级医院诊断结果及生后新生儿超声心动图筛查结果进行对比,并对常规扫查切面进行回顾性分析、讨论.结果 共发现心脏异常314例：产前筛查出胎儿心脏异常病例140例,确诊130例,诊断符合率92.9％（130/140）;产前阳性检出率0.6％（130/22 570）;漏诊2例、6处,漏诊率6.2％（8/130）;误诊5例,误诊率3.8％（5/130）;失访3例.产后新生儿超声心动图筛查出心脏异常174例.结论 基层产前筛查医院常规开展规范化胎儿超声心动检查,加强转诊、追踪、随访工作,对及早发现并诊断先天性心脏畸形具有重要的价值.
Objective To estimate the significance and clinical value of fetal echocardiography in the prenatal test of the grass-roots hospital.Methods 22 570 pregnant women were reviewed,newborns echocardiography were carried out in 19 978 cases.As for the abnormal cases in prenatal screening,the result was compared with the superior hospital diagnosis,also newborns echocardiography was executed to identify the result.Results 140 cases with fetal cardiac abnormalities had been diagnosed,of which 130 cases confirmed.The diagnosis coincidence rate was 92.9% （130/140） and prenatal positive detection rate was 0.6% （130/22 570）.Omission diagnostic rate was 6.2% （8/130）.Misdiagnosis rate was 3.8% （5/130）.3 cases were lost to follow-up.174 cases of newborns cardiac anomalies were diagnosed in postpartum echocardiography.Conclusions it is of importance to carry out the fetal echocardiography routine inspection in grass-roots hospitals,of which will facilitated the early detection and diagnosis of congenital heart abnormalities.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2015年第33期2698-2700,共3页
National Medical Journal of China
关键词
超声检查
产前
胎儿
规范
Ultrasonography,prenatal
Fetus
Benchmarking
