摘要
目的探讨超声心脏多切面检查对胎儿主动脉缩窄(COA)的诊断价值。方法抽取枣庄市妇幼保健院2018年6月至2021年6月收治的超声心脏多切面检查疑似为COA的胎儿90例,根据出生后超声心动图检查或尸检病理结果分为COA组(30例)与非COA组(60例)。比较两组超声心脏多切面相关参数。结果COA组胎儿主动脉峡部Z-分数、升主动脉Z-分数、肺动脉/升主动脉、右室横径/左室横径、主动脉峡部/动脉导管、主动脉峡部/升主动脉与非COA组胎儿比较,差异均有统计学意义(P均<0.05)。受试者工作特征曲线下面积(AUC)显示,主动脉峡部/动脉导管有较高准确性(AUC>0.9),而主动脉峡部Z-分数、肺动脉/升主动脉、主动脉峡部/升主动脉有一定准确性(AUC为0.7~0.9),升主动脉Z-分数、右室横径/左室横径有较低准确性(AUC为0.5~0.7)。结论胎儿主动脉缩窄应用超声心脏多切面检查,有一定的提示价值,根据超声心脏多切面相关参数,可为临床诊断提供一定的依据,其中主动脉峡部/动脉导管有较高的参考价值,但临床还需配合其他参数联合诊断,才能进一步提高诊断效果。
Objective To investigate the value of multi-section ultrasound cardiac examination in the diagnosis of fetal coarctation of the aorta(COA).Methods A total of 90 fetuses suspected of COA detected by multi-section ultrasound cardiac examination in Zaozhuang Maternal and Child Health Hospital from June 2018 to June 2021 were selected.According to the results of echocardiography or autopsy pathology after birth,they were divided into COA group(30 cases)and non-COA group(60 cases).The multi-section ultrasound cardiac examination related parameters of two groups were compared.Results There were significant differences in fetal aortic isthmus Z-score,ascending aorta Z-score,pulmonary artery/ascending aorta,right ventricular transverse diameter/left ventricular transverse diameter,aortic isthmus/arterial duct,aortic isthmus/ascending aorta between the COA group and the non-COA group(all P<0.05).Results of the area under the receiver operating characteristic curve(AUC)showing that the aortic isthmus/arterial duct had a higher accuracy(AUC>0.9);while the aortic isthmus Z-score,pulmonary artery/ascending aorta,and aortic isthmus/ascending aorta had certain accuracy(AUC was 0.7 to 0.9);ascending aorta Z-score,right ventricular transverse diameter/left ventricular transverse diameter had lower accuracy(AUC was 0.5 to 0.7).Conclusions The application of multi-section ultrasound cardiac examination for fetal coarctation of the aortic has a certain prompt value.The relevant parameters of multi-section ultrasound cardiac examination can provide a certain basis for clinical diagnosis,of which the aortic isthmus/arterial catheter has a higher reference value.However,it is necessary to take the other parameters into consider together for diagnosis to further improve the diagnostic effect.
作者
郑斌
Zheng Bin(Department of Ultrasound,Zaozhuang Maternal and Child Health Hospital,Zaozhuang 277000,China)
出处
《中国实用医刊》
2022年第7期77-79,共3页
Chinese Journal of Practical Medicine
关键词
主动脉缩窄
胎儿
超声心脏多切面检查
超声参数
超声心动图
诊断价值
Aortic coarctation
Fetus
Multi-section ultrasound cardiac examination
Ultrasound parameters
Echocardiography
Diagnostic value
