CAJ | 학술논문

目的探讨胎儿超声心动图诊断复杂先天性心脏病的临床价值.方法对49例胎儿复杂性先天性心脏病超声诊断结果与引产后胎儿尸检心脏病理解剖结果进行对比分析.结果产前超声诊断与病理解剖符合42例(85.71%),产前超声诊断与病例解剖结果不一致7例,其中3例产前诊断不符合,4例为不完全符合.24例合并心脏外其他畸形,9例染色体异常.结论胎儿超声心动图诊断胎儿复杂先天性心脏病具有较高的准确性,但部分心脏畸形产前难以检出.
목적 탐토태인초성심동도진단복잡선천성심장병적림상개치.방법 대49례태인복잡성선천성심장병초성진단결과여인산후태인시검심장병리해부결과진행대비분석.결과 산전초성진단여병리해부부합42례(85.71%),산전초성진단여병예해부결과불일치7례,기중3례산전진단불부합,4례위불완전부합.24례합병심장외기타기형,9례염색체이상.결론 태인초성심동도진단태인복잡선천성심장병구유교고적준학성,단부분심장기형산전난이검출.
Objective To probe the diagnostic efficacy of fetal eehocardiography for characterizing complex congenital heart diseases.Methods Fetal echocardiography was performed on 49 cases of fetal complex congenital heart disease, the ultrasonic diagnosis was compared retrospectively with pathological results after autopsy.Results Antenatal sonographic diagnosis was in agreement with the pathological results in 42 cases (85.71 %), 7 cases were disagreed with pathological diagnosis (antenatal sonographic diagnosis was discrepancy in 3 cases, 4 cases were partially mis-classified).Twenty-four cases were combined with extra-cardiac malformations.Nine cases had chromosomal abnormality.Conclusions Fetal echocardiography is highly accurate for antenatal diagnosis of complex congenital heart disease, but it is hard to detect some type of cardiac anomalies.