先天性心脏病的产前筛查和诊断方法探讨  

Prenatal Ultrasound Screening and Diagnosis of Fetal Congenital Heart Disease

作　　者：祝菁[1] 杨祖菁[1] 王蓓[1] 

机构地区：[1]上海交通大学医学院附属新华医院产前诊断中心,上海200092

出　　处：《中国产前诊断杂志（电子版）》2012年第2期15-18,共4页Chinese Journal of Prenatal Diagnosis(Electronic Version)

摘　　要：目的了解先天性心脏病的产前筛查和诊断情况。方法收集2010年4月至2011年12月期间在本院进行产前筛查和诊断的先天性心脏病胎儿以及产前未发现异常而出生后诊断的先天性心脏病患儿,分析其诊断时间、主要畸形和围产儿结局。结果 2010年4月至2011年12月期间经产前筛查和诊断的先天性心脏病共33例,其中9例足月分娩,24例引产终止妊娠。漏诊室间隔缺损11例、肺动脉狭窄2例、肺动脉闭锁1例。结论通过孕20～24周超声筛查胎儿心脏结构,能够较好地发现复杂型先天性心脏病,并通过胎儿超声心动图确诊,降低围产儿死亡率。Objective The aim of this study was to know about the prenatal ultrasound screening and diagnosis of fetal congenital heart disease.Method Fetus who were diagnosed congenital heart disease through prenatal fetal echocardiography or after birth from April 1st 2010 to December 31st 2011 were collected.We studied the mean gestational weeks of prenatal diagnosis,major abnormalities of heart disease and the outcome of fetus.Results 33 cases of congenital heart disease were prenatal diagnosed.9 of them were born alive and 24 of the others had termination of pregnancy.11 ventricular septal defects,2 pulmonary stenosis and 1 pulmonary atresia were discovered after birth.Conclusions We could discover severe congenital heart disease through ultrasound screening during 20-24 gestational weeks and made a prenatal diagnosis by fetal echocardiography.Thus we could reduce neonatal mortality.

关 键 词：先天性心脏病 超声筛查 胎儿超声心动图 

分 类 号：R714.5[医药卫生—妇产科学]