“三切面法”筛查胎儿心脏畸形的价值分析  

Value of three-section method for screening fetal cardiac malformation

作　　者：乔英艳[1] 雷成功[1] 张玖[1] 于冰[2] 

机构地区：[1]山西医科大学第二临床医学院超声科,太原030001 [2]山西医科大学第二临床医学院妇产科

出　　处：《山西医科大学学报》2011年第10期833-834,共2页Journal of Shanxi Medical University

基　　金：山西医科大学第二医院青年科研基金资助项目(20080203)

摘　　要：目的探讨胎儿心脏四腔心切面加左右心室流出道切面(三切面)在产前筛查胎儿先天性心脏病的临床应用价值。方法对150例高危孕妇行胎儿心脏三切面的扫查,对异常者行详细的胎儿超声心动图检查,并与产后尸解或产后超声心动图的检查结果进行比较。结果心脏四腔切面与左右心室流出道切面检出异常12例,尸解证实7例,产后超声心动图证实5例。结论胎儿心脏四腔切面及左右心室流出道切面探测方法简单,易于掌握,对产前筛查胎儿心脏病具有重要的临床应用价值。Objective To explore the clinical value of fetal cardiac four-chamber view plus left and right ventricular outflow tract section(three section)in prenatal screening for fetal congenital heart disease. Methods The fetal cardiac three section scanning was performed in 150 cases of high risk pregnant women.Then the detailed fetal echocardiography were performed in the abnormal women,and the results were compared with post-natal autopsy or postnatal echocardiographic findings. Results A total of 12 cases of abonormality were found by cardiac four chamber view with left ventricular outflow tract.Of 12 cases,7 cases were confirmed by autopsy,and 5 cases by post-natal echocardiography. Conclusion Fetal cardiac four chamber view and ventricular outflow tract section detection is simple,and easy to master,and has important clinical value for prenatal screening of fetal heart disease.

关 键 词：超声检查 先天性心脏病 胎儿 

分 类 号：R540.4[医药卫生—心血管疾病]