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用超声心动图诊断胎儿先天性心脏病的效果研究

Study of effect of using echocardiogram to diagnose congenital heart disease of fetuses

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【作者】 朱赖超;

【Author】 ZHU lai-chao;

【机构】 四川省仁寿县妇幼保健院超声科;

【摘要】 目的 :探讨用超声心动图诊断胎儿先天性心脏病的临床效果。方法 :对2014年5月~2015年5月期间在我院进行超声检查的520例孕妇所怀胎儿的临床资料进行回顾性研究。对这520例孕妇所怀的胎儿均使用超声心动图进行产前检查,观察其胎儿是否患有先天性心脏病。然后,根据这520例孕妇的妊娠结局,判断其使用超声心动图诊断胎儿先天性心脏病的准确性。结果 :进行超声心动图检查的结果显示,在这520例孕妇所怀的胎儿中,有514例孕妇所怀的胎儿为正常,有6例孕妇所怀的胎儿疑似患有先天性心脏病。经后期对流产胎儿进行尸体解剖的结果及对新生儿进行复查的结果证实,这6例胎儿均患有先天性心脏病。使用超声心动图诊断胎儿先天性心脏病的准确率为100%。这520例孕妇所怀的胎儿患有先天性心脏病的比率为0.96%。结论:用超声心动图诊断胎儿先天性心脏病的准确性高。可将此检查方法作为产前筛查胎儿先天性心脏病的主要方法。

【Abstract】 Objective: To explore clinical take echocardiography diagnosis of fetal congenital heart disease. Methods: In our hospital for regular ultrasound examination of 520 cases of pregnant women as the analysis object, by echocardiography on fetal antenatal examination, to observe fetal ductus and aortic arch section respectively, observe the trachea and three on the blood vessels, inferior vena cava long axis plane, left and right ventricular outflow tract section index, four-chamber view, etc. And to follow-up and tracking of the above test results, facilitate the results of the validation. Results: During the inspection found in 5 cases of suspected all diagnosis of fetal congenital heart disease, including fetal ventricular defect in 2 cases, the diaphragm between completeness arteries transposition in 1 case, 1 case each heart hyperplasia, complete endocrinal cushion defect in 1 case. Conclusion: Clinical for pregnant women by ultrasound echocardiography for prenatal pre screening for fetal congenital heart disease, can in prenatal screening out the risk of fetal heart disease, and in later pregnancy provides adequate guidance, is worth the clinical promotion.

  • 【文献出处】 当代医药论丛 ,Contemporary Medical Symposium , 编辑部邮箱 ,2016年07期
  • 【分类号】R714.5;R540.45
  • 【下载频次】20
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