产前超声诊断胎儿心血管畸形的临床应用价值  

The clinic value of prenatal ultrasonography in the diagnosis of congenital heart disease

作　　者：王佳[1] 潘颖[1] 轩丽丽[1] 蔡知天[2] 冷维春[1] 毛洪巍[1] 

机构地区：[1]吉林大学中日联谊医院妇产科,吉林长春130033 [2]吉林大学第一医院生殖中心,吉林长春130021

出　　处：《中国实验诊断学》2012年第10期1854-1856,共3页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨产前超声诊断在胎儿心血管畸形的临床应用价值。方法回顾性分析4200例孕妇系统产前超声检查结果及心血管畸形的影像图特征,追踪随访产前超声诊断胎儿心血管畸形的孕妇通过引产后尸检或产后超声检查证实产前超声诊断的准确性。结果 4200例孕妇共检出胎儿心血管畸形26例(不包括房间隔缺损),发病率为6.19‰,通过随访结果可以证实产前超声诊断准确17例,5例拒绝行尸检,失访4例,诊断准确率达65.38%。结论产前超声能够达到早期筛查、早期诊断、早期干预,降低出生缺陷的目标。Objective To explore the clinic value of prenatal ultrasonography in the diagnosis of congenital heart disease.Methods Retrospectively analyzed the 4200 pregnant women ＇s ultrasound examination results and the image characteristics graph of cardiac anomaly.To confirm the accuracy of prenatal ultrasonography by autopsyed after odinopoeia or made a heart ultrasound after he was born.Results There were 26 cases of congenital heart disease（not including atrial septal defect）,its incidence is 6.19 ‰.Through the follow-up results can be confirmed the accuracy of prenatal ultrasonography in 17 cases,5 cases refused to be autopsyed,4 cases were lost,diagnostic accuracy rate is 65.38%.Conclusion Prenatal ultrasonographic diagnosis can achieve the target that early screening 、early diagnosis and early intervention,to reduce birth defects.

关 键 词：超声检查 胎儿 先天性心血管畸形 产前诊断 

分 类 号：R714.53[医药卫生—妇产科学]