胎儿复杂先天性心脏病超声诊断与病理解剖结果的对比研究  

Comparative study on fetal ultrasonic diagnosis and pathological results of complex congenital heart diseases

作　　者：张晓航[1] 葛晓冬[2] 李锐[1] 张萍[1] 段灵敏[1] 郭燕丽[1] 薛雅方[1] 李晓林[2] 高淑红[2] 卞修武[2] 

机构地区：[1]第三军医大学附属西南医院超声科,重庆 400038 [2]第三军医大学附属西南医院病理科,重庆 400038

出　　处：《中华超声影像学杂志》2010年第6期517-520,共4页Chinese Journal of Ultrasonography

基　　金：基金项目：国家科技支撑计划重大出生缺陷和遗传病的防治研究（2006BA105A04）;重庆市人口与计划生育科研项目（200760号）

摘　　要：目的 探讨胎儿超声心动图诊断复杂先天性心脏病的临床价值.方法 对49例胎儿复杂性先天性心脏病超声诊断结果与引产后胎儿尸检心脏病理解剖结果进行对比分析.结果 产前超声诊断与病理解剖符合42例（85.71%）,产前超声诊断与病例解剖结果不一致7例,其中3例产前诊断不符合,4例为不完全符合.24例合并心脏外其他畸形,9例染色体异常.结论 胎儿超声心动图诊断胎儿复杂先天性心脏病具有较高的准确性,但部分心脏畸形产前难以检出.Objective To probe the diagnostic efficacy of fetal eehocardiography for characterizing complex congenital heart diseases.Methods Fetal echocardiography was performed on 49 cases of fetal complex congenital heart disease, the ultrasonic diagnosis was compared retrospectively with pathological results after autopsy.Results Antenatal sonographic diagnosis was in agreement with the pathological results in 42 cases （85.71 %）, 7 cases were disagreed with pathological diagnosis （antenatal sonographic diagnosis was discrepancy in 3 cases, 4 cases were partially mis-classified）.Twenty-four cases were combined with extra-cardiac malformations.Nine cases had chromosomal abnormality.Conclusions Fetal echocardiography is highly accurate for antenatal diagnosis of complex congenital heart disease, but it is hard to detect some type of cardiac anomalies.

关 键 词：超声检查 产前 心脏缺损 先天性 

分 类 号：R714.5[医药卫生—妇产科学]