中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
12期
120-121
,共2页
超声心动图%诊断%胎儿先天性心血管畸形%临床价值
超聲心動圖%診斷%胎兒先天性心血管畸形%臨床價值
초성심동도%진단%태인선천성심혈관기형%림상개치
Echocardiography%Diagnosis%Congenital cardiovascular malformation fetus%Clinical value
目的：研究使用超声心动图对于诊断胎儿先天性心血管畸形的重要意义，总结概括出现误诊以及漏诊的原因，提高诊断准确率。方法本院通过对10981例进行产前胎儿超声心动图检查的孕妇研究总结，通过对产前超声诊断结果与孕妇产后的超声心动图诊断以及被认为是畸形胎儿的尸体解剖结果进行比对，确定超声心动图诊断的价值。结果2981例孕妇中有107例(3.60%)胎儿检出先天性心血管异常。在这107例胎儿中，单纯性三尖瓣反流胎儿有77例(72.57%)，心腔内强回声光斑胎儿9例(8.73%)，左室假腱索胎儿6例(5.60%)，结构性心血管异常胎儿11例(10.28%)，单纯性肺动脉瓣反流胎儿2例(1.87%)，其中有11例孕妇选择引产。结论胎儿超声心动图是一种有效的胎儿先天性心脏病产前检查方法，有利于降低先天性心脏病患儿的出生率。
目的：研究使用超聲心動圖對于診斷胎兒先天性心血管畸形的重要意義，總結概括齣現誤診以及漏診的原因，提高診斷準確率。方法本院通過對10981例進行產前胎兒超聲心動圖檢查的孕婦研究總結，通過對產前超聲診斷結果與孕婦產後的超聲心動圖診斷以及被認為是畸形胎兒的尸體解剖結果進行比對，確定超聲心動圖診斷的價值。結果2981例孕婦中有107例(3.60%)胎兒檢齣先天性心血管異常。在這107例胎兒中，單純性三尖瓣反流胎兒有77例(72.57%)，心腔內彊迴聲光斑胎兒9例(8.73%)，左室假腱索胎兒6例(5.60%)，結構性心血管異常胎兒11例(10.28%)，單純性肺動脈瓣反流胎兒2例(1.87%)，其中有11例孕婦選擇引產。結論胎兒超聲心動圖是一種有效的胎兒先天性心髒病產前檢查方法，有利于降低先天性心髒病患兒的齣生率。
목적：연구사용초성심동도대우진단태인선천성심혈관기형적중요의의，총결개괄출현오진이급루진적원인，제고진단준학솔。방법본원통과대10981례진행산전태인초성심동도검사적잉부연구총결，통과대산전초성진단결과여잉부산후적초성심동도진단이급피인위시기형태인적시체해부결과진행비대，학정초성심동도진단적개치。결과2981례잉부중유107례(3.60%)태인검출선천성심혈관이상。재저107례태인중，단순성삼첨판반류태인유77례(72.57%)，심강내강회성광반태인9례(8.73%)，좌실가건색태인6례(5.60%)，결구성심혈관이상태인11례(10.28%)，단순성폐동맥판반류태인2례(1.87%)，기중유11례잉부선택인산。결론태인초성심동도시일충유효적태인선천성심장병산전검사방법，유리우강저선천성심장병환인적출생솔。
Objective To study significance of echocardiography in diagnosing congenital cardiovascular malformation fetus and sum up the reasons of misdiagnosis and missed diagnosis to improve the diagnostic accuracy. Methods There were 2981 cases of pregnant women for prenatal fetal echocardiography in our hospital for research summary, through to the prenatal ultrasound diagnosis of pregnant women with postpartum echocardiography diagnosis and is considered to be one of the malformation fetus compare the autopsy results, determine the value of echocardiography in the diagnosis. Results Out of 2981 cases of pregnant women, 107 patients (3.60%) of fetal congenital cardiovascular anomaly detection. In the 398 cases of fetus, simple tricuspid regurgitation in 77 patients (72.57%), fetal heart cavity the strong echo light fetal 9cases (8.73%), left ventricular false chordae tendineae6 cases (5.60%), fetal structural cardiovascular abnormalities fetus 11 cases (10.28%), idiopathic pulmonary valve regurgitation in fetal 2 cases (1.87%), including 11 cases of pregnant women choose induced labor. Conclusion Fetal echocardiography is an effective method of fetal congenital heart disease antenatal examination, to reduce the birth rate in children with congenital heart disease.
