四腔心切面结合降主动脉逆行跟踪法诊断胎儿先心病的临床价值  

The clinical application of four chamber view (Connect) with descending aorta (DAO) recessive scout for the diagnosis of congenital heart disease

作　　者：陈祥洪[1] 谢玉环[1] 刘自爱[1] 王海[1] 陈绮文[1] 

机构地区：[1]广东省东莞市人民医院超声科,523018

出　　处：《中国妇幼保健》2008年第21期3036-3038,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨胎儿超声心动图的四腔心切面结合降主动脉逆行跟踪法产前诊断胎儿先心病的价值。方法:采用四腔心切面结合降主动脉逆行跟踪法对260例超声筛查和高度怀疑胎儿心脏畸形的晚孕孕妇的胎儿进行三血管切面、主动脉弓切面、左室流出道切面、动脉导管弓切面、右室流出道切面、大血管短轴切面筛查。结果:共发现6例先天性心脏病胎儿,经尸检及产后证实,准确性99.2%,敏感性85.7%,特异性99.6%。结论:胎儿超声心动图的四腔心切面结合降主动脉逆行跟踪法产前诊断胎儿先心病,其思维与图像直观,准确率高,有较好的临床应用价值。Objective： To study the clinical application of four chamber view （connect） with descending aorta （DAO） recessive scout for the diagnosis of congenital heart disease. Methods： A total of 260 pregnancy women who underwent fetal ultrasound screening were analyzed retrospectively. 269 patient were referred for fetal echocardiography altogether seven views, including fetal four charber, vessels, aortic arch, left ventricular outflow tract, ductus arteriosus arch, right ventricular outflow tract and short axis views, who come by four chamber view （connect） with descending aorta （DAO） recessive scout. Results： 6 ases of fetal congenital heart disease were detected with fetal echocardiography, the diagnosis was confirmed by fetal autopsy and postnatal echocardiography. Its diagnostic accuracy, sensitivity, specificity were 99. 2%, 85. 7% , 99.6%. Conclusion： Thinking and image are intuition of four chamber views （connect） with Descending aorta （DAO） recessive scout for the diagnosis of congenital heart disease. It has a highter accuracy. It is worth generalizing and applying. It has good clinical application.

关 键 词：四腔心切面 降主动脉 胎儿先心病 临床价值 

分 类 号：R714.5[医药卫生—妇产科学]