摘要
目的探讨产前超声诊断在胎儿心脏畸形诊断中的应用价值。方法 2012年3月—2014年3月在金华市中心医院接受常规产前检查的孕妇中随机选择100例(105例胎儿)进行研究,均予以产前超声检查。结果经超声检查,100例孕妇(105例胎儿)中,一共有98例胎儿的心脏形态和血流处于正常状态,其余7例胎儿出现心脏形态和血流异常现象,占总胎儿数的6.7%。其中3例为完全性心内膜垫缺损,1例为单心房,3例为三尖瓣闭锁。对98例经产前超声检查未出现心脏畸形的正常胎儿在出生后予以随访,所有胎儿均获得随访,随访率100.0%(98/98)。经随访发现,一共有2例胎儿出现漏诊。其中1例为心脏简单畸形,1例为动脉导管未闭,属于产前无法诊断的畸形。最终的产前超声诊断准确率为97.96%(96/98),心脏畸形检出率为6.67%(7/105),严重心脏畸形的检出率为100.0%。结论产前超声诊断在胎儿心脏畸形诊断中具有一定的应用价值。
Objective To explore the utility of ultrasonography in prenatal diagnosis of fetal heart defects. Methods Total 100 pregnant women（ 105 cases of fetus） receiving routine antenatal care in our hospital from March 2012 to March 2014 were enrolled in this study,and prenatal ultrasonography was performed in all cases. Results Among all 105 fetus, 7 cases were with the anomalies of heart morphology and blood flow, accounting for 6.7%, in which 3 cases were with complete endocardial cushion defect, 1 case with single atrium, 3 cases with tricuspid atresia. Other 98 normal cases by prenatal ultrasonography were all followed up with a rate of 100.0% ,the result showed that 2 cases were missed in the diagnosis,in which 1 case was with simple congenital heart defects, 1 case with patent ductus arteriosus （ PDA）, both were belonging to the deformity cannot be diagnosed by prenatal diagnosis. The final accuracy of prenatal ultrasonic diagnosis was 97.96% （96/98）, the detection rate of fetal heart defects was 6.67% （7/105）, and the detection rate of fetal severe heart defects heart was 100%. Conclusion Uhrasonography has the certain application value in the prenatal diagnosis of fetal heart defects.
出处
《中华全科医学》
2015年第3期452-454,共3页
Chinese Journal of General Practice
关键词
胎儿心脏畸形
诊断
产前
超声
Fetal heart defects
Prenatal diagnosis
Ultrasound
