彩色多普勒超声在胎儿先天性心脏病中的诊断价值  

Color Doppler Ultrasound in Fetal Diagnosis of Congenital Heart Disease

作　　者：于潇[1] 

机构地区：[1]河南省新乡医学院第三附属医院超声医学科,河南新乡453003

出　　处：《中国医药指南》2012年第2期38-39,共2页Guide of China Medicine

摘　　要：目的探讨彩色多普勒超声在胎儿先天性心脏病诊断中的价值。方法随机检查孕20～40周的胎儿1560例,其中具有发生先心病高危因素孕妇22例,在常规检查胎儿发育的同时,观察胎心结构、形态及血流,对诊断为先天性心脏异常的胎儿引产后进行随访。结果本组共检出先心胎儿22例,检出率为1.41%。其中法洛四联症4例,室间隔缺损4例,房间隔缺损2例,心内膜垫缺损3例,三尖瓣下移畸形2例,二、三尖瓣发育不良并反流2例,大血管异常3例,心脏增大并腹水2例。结论彩色多普勒超声是产前诊断胎儿先天性心脏缺陷的理想方法和手段,对优生优育具有重要意义。Objective To explore the color Doppler ultrasound in diagnosis of fetal congenital heart disease value.Method Random screening at 20 to 40 weeks of 1560 fetal cases,which has the congenital heart disease risk factors in 22 cases of pregnant women,in routine examination of fetal development at the same time,observation of fetal heart structure,morphology and blood flow,the diagnosis of congenital cardiac anomalies in the fetus after the induction of follow-up.Results In this group of congenital fetus were detected in 22 cases,the positive rate was 1.41%.One of tetralogy of Fallot in 4 cases,4 cases of ventricular septal defect,atrial septal defect in 2 cases,3 cases of endocardial cushion defect,three tricuspid valve Ebstein malformation in 2 cases,two or three tricuspid valve dysplasia and reflux in 2 cases,major vascular abnormalities in 3 cases,heart enlargement and ascites in 2 cases.Conclusion Color Doppler ultrasound is the prenatal diagnosis of fetal congenital heart defects in the ideal method and means,the birth of significance.

关 键 词：彩色多普勒超声 先天性心脏病 产前诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541[医药卫生—诊断学]