CAJ | 학술논문

目的：探讨69例胎儿先天性心脏病的随访及筛查。方法9356例孕妇，均为单胎，对其胎儿进行先天性心脏病、四维超声产前先天畸形等筛查，并进行定期随访。结果9356例胎儿中，经过筛查，疑似病例68例，占0.73%，经过彩色多普勒超声心动图检查，可以确诊为先天性心脏病的患儿60例，准确率88.24%；胎儿先天性心脏病以室间隔缺损(VSD)和动脉导管未闭(PDA)最多。结论普及优生优育知识，进行孕前指导，采用适宜手段进行检测，对胎儿先天性心脏病的防控有着重要意义。
목적：탐토69례태인선천성심장병적수방급사사。방법9356례잉부，균위단태，대기태인진행선천성심장병、사유초성산전선천기형등사사，병진행정기수방。결과9356례태인중，경과사사，의사병례68례，점0.73%，경과채색다보륵초성심동도검사，가이학진위선천성심장병적환인60례，준학솔88.24%；태인선천성심장병이실간격결손(VSD)화동맥도관미폐(PDA)최다。결론보급우생우육지식，진행잉전지도，채용괄의수단진행검측，대태인선천성심장병적방공유착중요의의。
Objective To investigate follow-up and screening in fetal congenital heart disease cases. Methods A total of 9356 pregnant women with single birth received screening for fetal congenital heart disease and prenatal congenital malformations by four-dimensional ultrasonography. Regular follow-up was applied for them.Results Among 9356 fetus, there were 68 suspected cases, accounting for 0.73%. By applying color Doppler echocardiography, there were 60 diagnosed congenital heart disease cases with the accuracy rate as 88.24%. Fetal congenital heart disease mainly included ventriculap septal defect (VSD) and patent ductus arteriosus (PDA).Conclusion Popularization good birth knowledge, implement of progestational guidance, application of appropriate detection methods can all provide important significance for prevention of fetal congenital heart disease.