摘要
目的观察超声心动图技术用于诊断胎儿心律失常的临床价值。方法选取2018年3月至2020年3月于温州医科大学附属苍南医院定期进行产前检查的1500例妊娠期女性为研究对象,研究对象均于妊娠中期(24~26周)进行胎儿超声心动图检测,评估研究对象中胎儿心律失常及合并胎儿结构异常发生情况,统计胎儿心律失常及合并胎儿结构异常检出率,比较正常胎儿与心律失常胎儿在降主动脉、脐动脉和大脑中动脉管径差异情况。结果在全部1500例妊娠期女性中,妊娠中期,通过超声心动图检测共筛查出心律失常病例131例,胎儿心律失常发病率为8.73%,其中共有19例心律失常胎儿合并心脏结构异常,胎儿心律失常合并心脏结构异常发病率为1.27%;妊娠晚期胎儿心律失常病例从妊娠中期的131例(8.73%)降至32例(2.13%),并且分娩后胎儿心律失常病例降至18例(1.20%);围产期胎儿死亡病例仅有5例(0.33%),其中4例(0.27%)为心律失常合并心脏结构异常胎儿,另外1例(0.07%)为正常胎儿;妊娠中期正常胎儿降主动脉和大脑中动脉直径均显著大于心律失常胎儿水平,而正常胎儿脐动脉直径显著小于心律失常胎儿水平(t=-8.27~19.62,均P<0.001)。结论超声心动图可有效诊断胎儿心律失常及类型,且可观察合并心脏结构异常情况,对提高胎儿心律失常的诊疗水平具有较高临床价值。
Objective To investigate the clinical value of echocardiography in the diagnosis of fetal arrhythmia.Methods 1500 pregnant women who underwent a regular prenatal examination in Cangnan Hospital Affiliated to Wenzhou Medical University from March 2018 to March 2020 were included in this study.These pregnant women underwent fetal echocardiography in the second trimester of pregnancy(24-26 weeks).We evaluated the condition of,and calculated the incidence of,fetal arrhythmia complicated by fetal cardiac structure abnormality.The diameters of the descending aorta,umbilical artery,and middle cerebral artery were compared between normal fetuses and arrhythmia fetuses.Results Fetal arrhythmia was found in 131 pregnant women who were in the second trimester of pregnancy,with an incidence of fetal arrhythmia of 8.73%.Fetal arrhythmia and cardiac structure abnormality were detected in 19 pregnant women,with an incidence of fetal arrhythmia and cardiac structure abnormality of 1.27%.Fetal arrhythmia was detected in 131(8.73%)pregnant women who were in the second trimester of pregnancy and it was detected in 32(2.13%)pregnant women who were in the third trimester of pregnancy.Arrhythmia was detected in 18(1.2%)newborns.Only 5(0.33%)fetuses died during the perinatal period.Four(0.27%)fetuses had arrhythmia complicated by cardiac structure abnormality.One(0.07%)fetus was normal.The diameters of the descending aorta and middle cerebral artery were greater in normal fetuses than in arrhythmia fetuses in pregnant women who were in the second trimester of pregnancy,and the diameter of the umbilical artery was significantly smaller in normal fetuses than in arrhythmia fetuses(t=-8.27-19.62,all P<0.001).Conclusion Echocardiography can effectively help diagnose fetal arrhythmia and observe abnormal cardiac structure.The imaging technique is of great clinical value in improving the diagnosis and treatment of fetal arrhythmia.
作者
吕信笑
杨章慧
杨崇泽
邵倩
Lyu Xinxiao;Yang Zhanghui;Yang Chongze;Shao Qian(Department of Ultrasound Medicine,Cangnan Hospital Affiliated to Wenzhou Medical University,Wenzhou 325800,Zhejiang Province,China)
出处
《中国基层医药》
CAS
2022年第3期433-437,共5页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声心动描记术
压力
心律失常
心性
胎儿
妊娠中期
超声检查
产前
诊断
Echocardiography,stress
Arrhythmias,cardiac
Fetus
Pregnancy trimester,second
Ultrasonography,prenatal
Diagnosis
