CAJ | 학술논문

目的探讨产前系统胎儿超声筛查胎儿心脏畸形的价值。资料与方法系统检查5224例产前胎儿的头颅、颜面部、脊柱、心脏、腹部脏器、四肢等结构，采用四腔心切面头侧偏转法获得四腔心切面、左心室流出道切面、右心室流出道切面的彩色多普勒超声和频谱多普勒超声图像，并进行分析。结果共检出11例心脏畸形，其中右心房增大合并三尖瓣反流3例，室间隔缺损2例，左心室发育不良合并主动脉狭窄1例，左心室发育不良合并二尖瓣狭窄及主动脉瓣闭锁1例，主动脉狭窄1例，三尖瓣下移畸形1例，大动脉转位1例，法洛四联症1例。漏诊1例。结论系统胎儿超声检查作为胎儿先天性心脏畸形的筛查手段简便易行，具有较高的准确率。
목적탐토산전계통태인초성사사태인심장기형적개치。자료여방법계통검사5224례산전태인적두로、안면부、척주、심장、복부장기、사지등결구，채용사강심절면두측편전법획득사강심절면、좌심실류출도절면、우심실류출도절면적채색다보륵초성화빈보다보륵초성도상，병진행분석。결과공검출11례심장기형，기중우심방증대합병삼첨판반류3례，실간격결손2례，좌심실발육불량합병주동맥협착1례，좌심실발육불량합병이첨판협착급주동맥판폐쇄1례，주동맥협착1례，삼첨판하이기형1례，대동맥전위1례，법락사련증1례。루진1례。결론계통태인초성검사작위태인선천성심장기형적사사수단간편역행，구유교고적준학솔。
Purpose To evaluate the value of systemic ultrasonography in screening fetal congenital heart malformation. Materials and Methods A total of 5224 pregnant women underwent systemic ultrasonography to check fetal organs such as head, face, spine, heart, abdomen and limbs. Color Doppler and frequency spectrum Doppler images of four-chamber view, left ventricle outflow tract view and right ventricle outflow tract view were obtained and analyzed by using four-chamber view with probe tilting craniad slightly technique. Results Eleven cases showed congenital cardiac malformations (three cases of right atrial dilatation+tricuspid regurgitation, two cases of ventricular septal defect, one case of left heart dysplasias+aortic stenosis, one case of left heart dysplasias+mitral stenosis+aortic atresia, one case of aortic stenosis, one case of Ebstein's anomaly, one case of transposition of conducting arteries, one case of tetralogy of Fallot) and 1 case misdiagnosed. Conclusion Systemic fetal ultrasonography is simple and convenient with relatively high accuracy, which can be recommended in screening for fetal heart malformation.