超声诊断胎儿心脏结构异常分析报告.docxVIP

超声诊断胎儿心脏结构异常分析报告

［摘要］目的：探讨超声诊断胎儿心脏结构异常的临床价值。方法：回顾性分析4668例胎儿二维、M型、彩色多普勒超声心动图检查结果及随访资料。结果：检出118例胎儿心脏结构异常，检出率为4.8%，检出阳性率为94.7%，以法洛四联征为主，占21.9%。118例胎儿心脏结构异常分别为：12例复杂性先心病；6例室间隔缺损房室瓣返流；17例单心房，其中2例心脏异位；6例单心房、单心室；13例完全心内膜垫缺损；6例三尖瓣发育异常，其中2例三尖瓣下移；23例法洛四联症；6例心脏肿瘤；5例心包积液；3例卵圆孔增大。结论：系统性胎儿超声心动图是检测孕期胎儿心脏结构异常的可靠方法，在预测胎儿临床转归过程中值得推广应用。

［关键词］胎儿；超声心动图；心脏结构异常

Ultraphonicdiagnosisanalysisoffetalcardiacabnormalities

LiXia

The People’s Hospital of Pi County，Pi County 611730，China

[abstract]objective:Toevaluatethesignificanceofusingstandardizedultrasoundexaminationmethodsinthediagnosisofthefetalcardiacabnormalities.Methods:aretrospectiveanalysisof4668casesoffetaltwo-dimensional,Mtype,colordopplerechocardiographicfindingsandfollow-updata.Byusing2d,Mtype,colordopplerechocardiographyexaminationmethod.Weretrospectivelyanalyzedthediagnosisoffetalcardiacabnormalitiesofthepositivecasesandexploredthesignificanceofthemethod.Results:Among4668cases，118fetusescardiacabnormalitiesweredetected.Thedetectionratewas5.2%,andthedetectionpositiveratewas94.7%.118casesoffetalcardiacstructuralabnormalitiesare:12casesofcomplexcongenitalheartdisease；6casesofAtrialseptaldefect；17casesofsingleatrium,including2casesofheterotopicheart;6casesofsingleatriumandcasesofsingleventricle；6casesoftricuspiddysplasia,including2casesoftricuspidvalve；13casesofcompleteendocardialcushiondefect;23casesoftetralogyoffallot.6casesofcardiaccancer;5casesofpericardialeffusion;3casesofpatentforamen.Conclusion:Thescreeningprogramshowedgoodsensitivityandexcellentspecificity.Ourprenatalheartscreeningprogaramwasfeasible.

[keywords]thefetus;Supersonicandenchantedthegraph;Cardiacstructuralabnormalities

先天性心脏畸形是最常见的胎儿心脏结构异常，同时也是人类最常见的出生缺陷之一，先天性心血管畸形严重危害人类的健康，在围生期死亡率较高[1]。随着促进优生优育、提高出生人口素质的重要性在国民意识中的大幅提升，围产期