中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
27期
181-182
,共2页
中孕期胎儿%产前超声筛查%复杂先天性心脏畸形%诊断价值
中孕期胎兒%產前超聲篩查%複雜先天性心髒畸形%診斷價值
중잉기태인%산전초성사사%복잡선천성심장기형%진단개치
Prenatal fetal%Prenatal ultrasound screening%Complex congenital cardiac malformations%Diagnosis value
目的 分析妊娠中期胎儿行产前超声筛查对复杂先天性心脏畸形的临床诊断价值. 方法 整群选取该院2014年4月-2015年4月收治的5 800例妊娠中期的孕妇作为研究对象, 对其超声结果与产后的随访记录进行进一步分析. 结果共检出32例胎儿患有复杂先天性心脏畸形,检出率为0.55%.彩色多普勒超声诊断仪对单心房或单心室、大动脉转位、心内膜垫缺损、主动脉弓中断、永存动脉千、左心或右心发育不良、合并心外畸形、法洛四联征、左室横纹肌瘤和室间隔缺损进行筛查时,其检出率和随访记录差异无统计学意义;漏诊率为0.05%,漏诊的患儿分别为肺动脉狭窄、法洛四联征和室间隔缺损各1例. 结论 妊娠中期对胎儿进行产前超声筛查对其复杂先天性心脏畸形的临床诊断准确率较高,可降低复杂先天性心脏崎形胎儿出生率.
目的 分析妊娠中期胎兒行產前超聲篩查對複雜先天性心髒畸形的臨床診斷價值. 方法 整群選取該院2014年4月-2015年4月收治的5 800例妊娠中期的孕婦作為研究對象, 對其超聲結果與產後的隨訪記錄進行進一步分析. 結果共檢齣32例胎兒患有複雜先天性心髒畸形,檢齣率為0.55%.綵色多普勒超聲診斷儀對單心房或單心室、大動脈轉位、心內膜墊缺損、主動脈弓中斷、永存動脈韆、左心或右心髮育不良、閤併心外畸形、法洛四聯徵、左室橫紋肌瘤和室間隔缺損進行篩查時,其檢齣率和隨訪記錄差異無統計學意義;漏診率為0.05%,漏診的患兒分彆為肺動脈狹窄、法洛四聯徵和室間隔缺損各1例. 結論 妊娠中期對胎兒進行產前超聲篩查對其複雜先天性心髒畸形的臨床診斷準確率較高,可降低複雜先天性心髒崎形胎兒齣生率.
목적 분석임신중기태인행산전초성사사대복잡선천성심장기형적림상진단개치. 방법 정군선취해원2014년4월-2015년4월수치적5 800례임신중기적잉부작위연구대상, 대기초성결과여산후적수방기록진행진일보분석. 결과공검출32례태인환유복잡선천성심장기형,검출솔위0.55%.채색다보륵초성진단의대단심방혹단심실、대동맥전위、심내막점결손、주동맥궁중단、영존동맥천、좌심혹우심발육불량、합병심외기형、법락사련정、좌실횡문기류화실간격결손진행사사시,기검출솔화수방기록차이무통계학의의;루진솔위0.05%,루진적환인분별위폐동맥협착、법락사련정화실간격결손각1례. 결론 임신중기대태인진행산전초성사사대기복잡선천성심장기형적림상진단준학솔교고,가강저복잡선천성심장기형태인출생솔.
Objective To analyze the clinical diagnostic value of prenatal ultrasound screening for complex congenital cardiac mal-formations in the middle trimester of pregnancy. Methods In our hospital in April 2014 to 2015 April of 58 cases of prenatal ul-trasound screening in the second trimester pregnant women as the object of study and analysis of the ultrasonic imaging data and clinical data were retrospectively. The ultrasonic results and postpartum follow-up records for further analysis. Results 5 800 cases of pregnant women were checked out in 32 fetuses with complex congenital heart malformation, the detection rate was 0.55%. Col-or Doppler ultrasonic diagnostic apparatus of single atrial or ventricular, great artery transposition, endocardial cushion defect, aor-tic arch interruption, persistent truncus arteriosus thousand, left right heart or heart development adverse, with extra cardiac malfor-mations, tetralogy of Fallot, left ventricular rhabdomyoma and ventricular septal defect screening, by comparing the detection rate and follow-up record, the statistical analysis, has no significant difference (P>0.05);missed diagnosis rate of 0.05%(3/5 800) leak-age diagnosis of children respectively pulmonary artery stenosis and tetralogy of Fallot syndrome and ventricular septal defect in 1 case. Conclusion Mid pregnancy on the fetus by prenatal ultrasound screening of the complex congenital heart qi the shape of clinical diagnosis with high accuracy, can make complex congenital heart qi shape fetal birth rate is significantly reduced, to achieve the purpose of prenatal and postnatal care is an important guarantee to improve the quality of social population.
