CAJ | 학술논문

目的探讨彩超在筛查胎儿心脏大血管畸形中的价值.方法回顾性分析2009年10月至2013年5月在我院进行胎儿心脏彩超筛查的13 056例孕妇的临床资料,胎儿是否存在心脏大血管畸形采用三血管气管切面超声进行检查,观察大动脉的位置、血流方向和分布.结果 13 056例胎儿中有51例彩超显示心脏畸形,行脐带血或羊水染色体检查的有21例,染色体异常4例.本院引产36例,尸检15例,尸检结果与产前诊断相符.结论胎儿心脏大血管畸形采用彩超进行检查,能获得很高的检出率,彩超在该类疾病的诊断中具有很好的实用性.
목적 탐토채초재사사태인심장대혈관기형중적개치.방법 회고성분석2009년10월지2013년5월재아원진행태인심장채초사사적13 056례잉부적림상자료,태인시부존재심장대혈관기형채용삼혈관기관절면초성진행검사,관찰대동맥적위치、혈류방향화분포.결과 13 056례태인중유51례채초현시심장기형,행제대혈혹양수염색체검사적유21례,염색체이상4례.본원인산36례,시검15례,시검결과여산전진단상부.결론 태인심장대혈관기형채용채초진행검사,능획득흔고적검출솔,채초재해류질병적진단중구유흔호적실용성.
Objective To investigate clinical value of ultrasonography in screening for fetal cardiac vascular malformations.Methods Clinical data of 13 056 pregnant women undergoing fetal echocardiography screening in our hospital from October 2009 to May 2013 was retrospectively analyzed.Three-vesseltrachea view ultrasound was utilized to detect whether there were cardiac vascular malformations.Observed aorta location,orientation and distribution of blood flow.Results Ultrasonography showed 51 cases of fetal heart defect in 13,056 cases.There were 21 cases undergoing umbilical cord blood or amniotic fluid chromosome examination,4 cases of chromosomal abnormality.There were 36 cases of hospital abortion,15 cases of autopsy.Autopsy results were consistent with prenatal diagnosis.Conclusion Using ultrasound to check abnormal fetal cardiac vascular malformations can get very high detection rate.Ultrasonography in the diagnosis of this kind of disease has good applicability.