胎儿心血管畸形诊断中产前超声检查的应用价值探讨  

Study on the application value of prenatal ultrasonography in diagnosis of fetal cardiovascular malformation

作　　者：李玉哲[1] 杨虹[1] 王晨虹[1] 

机构地区：[1]深圳市妇幼保健院产科,广东深圳518000

出　　处：《中国产前诊断杂志（电子版）》2016年第2期23-25,共3页Chinese Journal of Prenatal Diagnosis(Electronic Version)

摘　　要：目的探讨胎儿心血管畸形诊断中产前超声检查的应用价值。方法以2300例孕妇为研究对象,均给予二维超声及三维超声检查。比较单行二维超声诊断法、二维与三维超声联合诊断法的胎儿心血管畸形检出率,观察分析儿心血管畸形检出孕周情况,探讨孕周对检测结果的影响。结果最终引产尸检及产后新生儿超声心脏检查确诊胎儿心血管畸形14例（6.09%）;单行二维超声诊断检出率为71.43%,显著不及二维与三维超声联合诊断检出效果,差异比较具有统计学意义（P〈0.05）;二维＋三维联合诊断检出率为100%,均高于单纯二维超声检查,经连续性χ~2矫正检验,P均〉0.05,无统计学意义。结论二维与三维超声联合诊断应用于胎儿心血管畸形诊断临床,效果显著,可为产前干预提供参考依据,值得推广。Objective To investigate the diagnosis of fetal cardiovascular malformations value of prenatal ultrasound. Method 2300 cases of pregnant women for the study were given two-dimensional and three- dimensional ultrasound examination. Comparison of one-way two-dimensional ultrasound diagnostics, fetal ultrasound combined 2D and 3D diagnostics of cardiovascular malformations detection rate, detection of cardiovascular malformations observed and analyzed gestational age children, and explore the influence of gestational age on the test results. Results The final autopsy induction of labor and postpartum neonatal cardiac ultrasound examination confirmed fetal cardiovascular malformations 14 cases （6.09 %） one-way two-dimensional ultrasound diagnostic detection rate of 71.43 %, significantly less than the two-dimensional and three-dimensional ultrasound diagnostic accuracy combined with the effect of the difference comparison with statistical significance （P〈0.05） ; 2D＋3D joint diagnosis was 100% higher than the simple twodimensional ultrasound, the continuity correction chi-square test, P〉0. 05, no statistical significance. Conclusions 2D and 3D ultrasound in the diagnosis of fetal cardiovascular malformations applied to clinical diagnosis, the effect is significant, it can provide a reference for prenatal intervention, worthy of promotion.

关 键 词：胎儿心血管畸形 二维超声 三维超声 孕周 

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]