摘要
目的探讨彩色多普勒超声(彩超)筛查胎儿先天性心脏病的临床价值。方法选择2011年1月至2015年2月期间在我院检查的1286例胎儿,对彩色多普勒超声筛查发现的胎儿心脏异常的病例进行动态追踪观察、产后超声心动图检查及追踪手术结果和病理结果,分析统计彩色多普勒超声诊断结果的符合率。结果 1286例胎儿发现先天性心脏病20例,其中大动脉转位合并室间隔缺损3例,三尖瓣下移畸形1例,心内膜垫缺损3例,法洛氏四联症3例,大型室间隔缺损4例,房间隔缺损2例,左心室发育不良2例,单心房3例。病理证实为可疑性先天性心脏病23例,其中大动脉转位合并室间隔缺损4例,心内膜垫缺损4例,法洛氏四联症3例,大型室间隔缺损5例,房间隔缺损2例,左心室发育不良2例,单心房3例,漏诊3例,确诊率86.96%。结论彩色多普勒超声心动图在胎儿先天性心脏病诊断中具有重要作用,能够对胎儿心脏畸形做出准确判断,有安全、无创、低廉等优点,且具有其它影像学无可替代的作用,应作为胎儿先天性心脏病产前筛查的重要影像学诊断方法。
Objective：To research clinical value of Doppler ultrasound screening for fetal congenital heart disease. Methods：1286 fetal were collected from Jan.2011 to Feb.2015 in our hospital,cases with fetal cardiac abnormalities discovered with color Doppler ultrasound were dynamically observed on postpartum echocardiography,operation and pathology results. Results：20 cases with fetal congenital heart disease were found in 1286 cases through color Doppler ultrasound,of which the aorta transposition with ventricular septal defect in 3 cases,tricuspid valve malformation in 1 case,3 cases is of endocardial cushion defect,the method of rockwell quadruple disease in 3 patients,4 cases were large ventricular septal defect,2 cases of atrial septal defects,left ventricular dysplasia in 2 cases,single atrium in 3 cases. 23 fishy cases of congenital heart diseasewere confirmed by pathology,including aorta transposition merger ventricular septal defect in 4 cases,4 cases is endocardial cushion defect,the method of rockwell quadruple disease in 3 cases,large ventricular septal defect in 5 cases,2 cases of atrial septal defects,left ventricular dysplasia in 2 cases,single atrium in 3 cases,3 cases were misdiagnosed,diagnosis rate was 86.96%. Conclusion：Color Doppler echocardiography plays an important role in the diagnosis of fetal congenital heart disease,and could make accurate judgment on the fetal cardiac abnormalities;it is a important imaging method on diagnosis of fetal congenital heart disease in prenatal screening,and shows safe,noninvasive,low cost characters.
出处
《中国优生与遗传杂志》
2016年第10期97-98,110,共3页
Chinese Journal of Birth Health & Heredity
关键词
彩超
胎儿
先天性心脏病
漏诊
确诊
Color Doppler ultrasound
Fetal
Congenital heart disease
Missed diagnosis
Confirmed
