Fetal prenatal diagnosis of congenital cardiovascular anomalies.docVIP

 PAGE \* MERGEFORMAT 13 Fetal prenatal diagnosis of congenital cardiovascular anomalies Keywords: echocardiography Application of fetal echocardiography for prenatal diagnosis of fetal congenital cardiovascular anomalies were observed fetal cardiac structure and blood flow, the diagnosis of fetal congenital cardiovascular malformations better method. Is now nearly two years in our hospital fetal echocardiography summarize the clinical application of analysis, are reported below. 1 Data and methods 1.1 General Information From September 2006 to January 2008, the total number of 8834 cases of hospital deliveries, live births, 8708 cases of the same period outpatient pregnant women (including the city to lower-level hospitals and high-risk pregnant women) 8110 cases of prenatal fetal echocardiography, Age 20 to 47 years of age; 22 ~ 39 weeks gestational age. 1.2 Methods GE730 Ultrasound probe frequency 2 ~ 5MHz. Pregnant women to take supine position, exposure to the abdomen, the fetal probe scanning the surface of the top of the abdomen. Inspection procedures: (1) to determine the fetus in the uterus of the fetal position, clearly the fetus before and after the left and right, up and down relationship. (2) The taking of fetal abdominal transverse section, observe whether the situs inversus, fetal inferior vena cava and abdominal aorta of the position relationship, with or without ascites, and then observe the umbilical vein, venous catheter access to the inferior vena cava and the inferior vena cava connected to atrial morphological structure, and determine the heart is orthotopic, anti-bit or not to locate. (3) The surface observe the eager four-chamber heart, chest cavity and the ratio of heart, heart position and cardiac apex towards the angle between the axis; oval holes are open and the orientation of the foramen ovale valve; ventricular septal echo whether the interruption; Note that leaves from the tricuspid va