超声心动图产前诊断胎儿先天性心脏畸形的临床研究  

Prenatal Echocardiographic Diagnosis of Congenital Heart Diseases

作　　者：李有忠[1] 刘颖[1] 郭方春 刘广华[1] 田兵[1] 刘伟刚[1] 

机构地区：[1]淄博市临淄区人民医院超声科,山东省淄博市255400

出　　处：《中国超声医学杂志》2008年第10期938-941,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声心动图产前诊断胎儿先天性心脏畸形的临床价值。方法对18～41周孕妇进行常规胎儿超声心动图筛查,具有高危因素的孕妇和胎儿是临床研究的主要对象。结果超声心动图产前诊断胎儿先天性畸形31例,漏诊3例,超声诊断符合率91.2%,漏诊率8.8%。超声心动图显示胎儿心脏单纯性畸形11例,占35.5%,复杂性畸形20例,占64.5%,具有与胎儿先天性心脏畸形有关的高危因素13例,占41.9%,未发现与畸形有关的高危因素18例,占58.1%。结论超声心动图能够在产前对胎儿先天性心脏畸形做出正确诊断与鉴别诊断。Objective To discuss the clinical value of prenatal echocardiography （ECG） to detect congenital heart diseases （CHD） .Methods The fetuses with 18-41 week gestational age were examined echocardiographically. The pregnant women with high risk factors were our major objects. Results Thirty-one fetuses were diagnosed with CHD, but cases were missed. The diagnostic concordant rate was 91.2% and the missed rate was 8.8%. Eleven cases （35.5%） were with simple deformities, 20 cases （64.5%） with complex deformities. Thirteen cases （41.9%） had high risk factors and 18 cases （58. 1%） did not have. Conclusions Prenatal ECG is essential for early screening fetal simple or complicated CHD.

关 键 词：超声心动图 胎儿 先天性心脏畸形 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]