单纯性室间隔小缺损彩色多普勒产前诊断的价值评估  

Evaluation on color Doppler echocardiography in the prenatal diagnosis of alone small VSD

作　　者：高波[1] 邢国平[1] 王秀[1] 臧加英[1] 

机构地区：[1]高淳县人民医院超声科,江苏高淳211300

出　　处：《实用医药杂志》2013年第12期1069-1070,共2页Practical Journal of Medicine & Pharmacy

摘　　要：目的探讨彩色多普勒超声在胎儿期单纯性室间隔小缺损中的应用价值。方法常规探查胎儿心脏排除复杂心内畸形后,重点观察四腔心切面、五腔心切面及右心室流出道切面上室间隔有无连续性中断,并常规用彩色多普勒观察有无穿隔血流。结果产前超声诊断胎儿单纯性室间隔小缺损23例,产前超声复查证实宫内自然闭合2例,1例引产证实,其余经产后超声证实。结论二维超声是诊断胎儿室间隔缺损的传统基本方法,但应用彩色多普勒超声显著提高胎儿单纯性小室缺的检出率。Objective To evaluate the importance of color Doppler echocardiography in the prenatal diagnosis of alone small VSD. Methods After fetal 's complicated heart deformity being eliminated,interventricular septum was carefully visualized on the four chamber view,five chamber view and right ventricular outflow tractview. At the same time,a shunt was detected present or not in the colorflow mapping as routine. Results There were 23 cases only with smallVSD among the 2507 cases received prenatal screen. Of 23 cases,two cases were closed spontaneously in uterine determined by fellow-up echocardiography,one case was confirmed by autopsy,and the others were verified by postnatal echocardiography. Conclusion Compared with two-dimensional sonography color Doppler echocardiography is a better way to diagnosing the alone small VSD of fetal,although the former is a basic and major technique before.

关 键 词：彩色多普勒超声心动图 胎儿室间隔缺损 产前诊断 

分 类 号：R714.53[医药卫生—妇产科学]