胎儿先天性心脏病超声诊断及漏诊探析.docVIP

胎儿先天性心脏病超声诊断及漏诊探析 　　【摘要】 目的：探析胎儿先天性心脏病的超声诊断及漏诊情况。方法：随机选取笔者所在医院产科门诊收治的孕妇2000例，孕周20～40周，实施彩色多普勒超声检查胎儿心脏五横切面检查及胎儿心脏结构形态分析，检查结果分别与尸检结果、超声心动图检查结果进行对比。结果：2000例经胎儿心脏彩色多普勒超声检查胎儿，先天性心脏病的检出率为1.3%，并发心外畸形胎儿10例，24例引产终止妊娠，正常分娩2例，尸检结果中仅2例表现为肺动脉狭窄合并有右室发育不良而未检出，其他超声结果与尸检结果一致，经超声心动图检查结果确诊为先天性心脏病4例。结论：超声诊断为一种有效的诊断心脏病的方法，其诊断准确性受胎儿位置、心脏病类型、图像质量、分辨率以及心脏病类型所影响。 　　【关键词】 胎儿； 先天性心脏病； 超声诊断 　　中图分类号 R714.5 文献标识码 B 文章编号 1674-6805（2015）4-0055-02 　　Diagnosis of Ultrasound and Analysis of Misdiagnosis in Fetal Congenital Heart Disease/LU Xiang-zhang.//Chinese and Foreign Medical Research，2015，13（4）：55-56 　　【Abstract】 Objective：To analyze the effect of ultrasound diagnosis and misdiagnosis in fetal congenital heart disease.Method：2000 pregnant women admitted in our hospital maternity clinic were selected，gestational ages were about 20-40 weeks， the implementation of color Doppler ultrasound examination of fetal heart five transverse section and the analysis of the fetal heart structure form，the examination results were compared respectively with autopsy results and the results ofechocardiography.Result：The detection rate of fetal congenital heart disease diagnosed by color Doppler ultrasound examination was 1.3%，there were 10 cases were heart malformation fetus，24 cases were stopped pregnancy with induced labor，2 cases were normal childbirth，2 cases of pulmonary artery stenosis with right ventricular dysplasia were not checked out in autopsy results，and other ultrasound results were agreed with the autopsy，4 cases were diagnosed congenital heart disease with the echocardiography.Conclusion：Ultrasound diagnosis is a kind of effective method of diagnosing heart disease，the diagnosis accuracyare affected by fetal position，type of heart disease，type of image quality，resolution，and heart disease. 　　【Key words】 Fetus； Congenital heart disease； Ultrasonic diagnosis 　　First-author’s address：Women Children Health Hospital in Huadu District of Guangzhou，Guangzhou 510800，China 　　doi：10.14033/j.cnki.c