彩色多普勒超声检查在胎儿先天性心脏病筛查中的应用价值  

Application value of color Doppler ultrasonography in screening fetal congenital heart disease

作　　者：于春英[1] 胡东明[2] 

机构地区：[1]青岛市第三人民医院超声科,山东省青岛266041 [2]青岛市第三人民医院内分泌科,山东省青岛266041

出　　处：《中国基层医药》2016年第5期755-758,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨彩色多普勒超声检查在胎儿先天性心脏病筛查中的应用价值及检测意义。方法选择待产妇4132例，应用彩色多普勒超声诊断仪对其行五心切面筛查以对胎儿心脏检测，对比实际临床情况对胎儿先天性心脏病的发生进行分析。结果先心病共计50例（1．21％），活产儿28例，占56．00％，引产儿13例，占26．00％，死产儿9例，占18．00％；超声共检出48例，检出率为1．16％，准确率为96．00％，漏诊率为4．00％。28例活产儿择期行手术矫正，治疗效果较佳，48例超声检出包括10例室间隔缺损，6例法络四联症，6例房间隔缺损，5例心内膜垫缺损，4例单心腔，4例永存动脉干，3例右心发育不良，3例三尖瓣下移畸形，2例永存左上腔静脉，2例左心发育不良，2例主动脉弓离断，1例横纹肌瘤。结论对孕妇应用彩色多普勒超声进行检查，可有效地检出严重先天性心脏病胎儿，适时停止妊娠，可有效提高优生优育水平，值得临床应用。Objective To explore the application value of color Doppler ultrasound in screening of fetal con- genital heart disease and its significance. Methods 4 132 eases of the expectant mothers were selected,using color Doppler .ultrasonography on the line screening of five section to detect fetal cardiac, to compare with the actual clinical situation and analyze the occurrence of fetal congenital heart disease. Results Among 50 eases （ 1.21% ） of congeni- tal heart disease,28 cases were live births, accounted for 56.00%, 13 cases of induced abortion, accounted for 26. 00% ,9 cases died ,accounted for 18.00%. 48 eases were detected by ultrasound,relevance ratio was 1.16% ,the accuracy rate was 96.00%, the missed diagnosis rate was 4.00%. 28 cases of live births undergoing surgical correc- tion, treatment effect was good ,48 cases were detected, including 10 cases of ventrieular septal defect ,6 cases of tetral- ogy of Fallot ,6 cases of atrial septal defect ,5 cases of endocardial cushion defect ,4 eases of single chamber,4 cases of persistent truncus arteriosus,3 cases right ventrieular dysplasia,3 cases of tricuspid valve shift malformation,2 cases of persistent left superior vena eava, 2 cases left ventrieular dysplasia, 2 cases of aortic arch interruption, 1 case of rhabdomyoma. Conclusion Using color Doppler ultrasound detection for pregnant women can effectively detect severe congenital heart disease in the fetus,stop gravid timely ,which can effectively improve the level of prenatal and postnatal care that is worth clinical application.

关 键 词：超声检查 多普勒 彩色 超声检查 产前 心脏缺损 先天性 

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]