CAJ | 학술논문

目的：探讨经阴道彩色多普勒超声对11～14孕周胎儿先天性心脏畸形的诊断价值。方法选择2013年12月至2014年12月期间至我院产检的具有胎儿心脏畸形高危因素的11～14孕周孕妇126例，均对其进行经腹腔及经阴道彩色多普勒超声检查，与其胎儿病理结果相比较两种检测方法的胎儿畸形检出率及经阴道彩色多普勒超声对胎儿畸形的预测价值。结果126例孕妇胎儿中病理证实共9例胎儿出现胎儿先天性心脏畸形，先天性心脏畸形发生率9．71％；经腹部彩色多普勒超声检出6例，检出率82．5％，经阴道彩色多普勒超声检出7例，检出率92．5％，经阴道彩色多普勒超声心脏检测先天性畸形检出率优于经腹部超声检测，差异具统计学意义（P＜0．05）；两种诊断方式对胎儿心脏畸形诊断的灵敏性比较，经阴道彩色多普勒超声要显著高于经腹部彩色多普勒超声（P＜0．05）。结论经阴道彩色多普勒超声诊断11～14孕周胎儿先天性心脏畸形较经腹部彩超检查更为准确、灵敏，为避免严重心脏畸形胎儿出生提供可靠的诊断方法及依据。
목적：탐토경음도채색다보륵초성대11～14잉주태인선천성심장기형적진단개치。방법선택2013년12월지2014년12월기간지아원산검적구유태인심장기형고위인소적11～14잉주잉부126례，균대기진행경복강급경음도채색다보륵초성검사，여기태인병리결과상비교량충검측방법적태인기형검출솔급경음도채색다보륵초성대태인기형적예측개치。결과126례잉부태인중병리증실공9례태인출현태인선천성심장기형，선천성심장기형발생솔9．71％；경복부채색다보륵초성검출6례，검출솔82．5％，경음도채색다보륵초성검출7례，검출솔92．5％，경음도채색다보륵초성심장검측선천성기형검출솔우우경복부초성검측，차이구통계학의의（P＜0．05）；량충진단방식대태인심장기형진단적령민성비교，경음도채색다보륵초성요현저고우경복부채색다보륵초성（P＜0．05）。결론경음도채색다보륵초성진단11～14잉주태인선천성심장기형교경복부채초검사경위준학、령민，위피면엄중심장기형태인출생제공가고적진단방법급의거。
Objective To study the transvaginal color Doppler flow imaging ( cdfi) in 11 ~14 pregnant weeks to assess the diagnostic value of fetal congenital heart malformation.Methods In December, 2013-December 2014 to our hospital during the period of high risk factors of prenatal fetal cardiac malformation of 11 ~14 gestational age, 126 cases of pregnant women, and all of the abdominal and transvaginal color Doppler ultrasound, and pathological results compared to compare two methods of detecting fetal anomaly detection and transvaginal color Doppler flow imaging ( cdfi) in predictive value of fetal abnormalities.Results 126 cases of pathology confirmed a total of 9 cases of fetus in fetus congenital cardiac malformations, congenital heart malformation rate 9.71%;Via abdomen 6 cases of color Doppler ultrasonic detection, detection rate of 82.5%, by transvaginal color Doppler ultrasound detection in 7 cases, detection rate of 92.5%, by transvaginal color Doppler flow imaging ( cdfi ) heart detection congenital anomaly detection was better than that of the abdomen ultrasonic testing, statistical significance difference ( P <0.05 ); Two types of diagnosis of fetal cardiac malformation diagnosed sensitivity comparison of transvaginal color Doppler flow imaging ( cdfi) were significantly higher than the abdominal color Doppler ultrasound (P <0.05).Conclusions Transvaginal color Doppler ultrasound diagnosis of 11~14 gestational age of fetal congenital heart malformation fetus via abdominal color to exceed more accurate, sensitive, in order to avoid serious cardiac malformation fetus born to provide reliable diagnostic method and basis.