胎儿心脏超声检查在产前筛查中的应用  

Application of fetal echocardiography in prenatal screening

作　　者：周钰昆 王凤兰[1] 张金辉[1] 郑婷华 张雪松[1] 梁宏伟[1] 张伟[1] 

机构地区：[1]唐山市妇幼保健院超声科,河北唐山063000

出　　处：《中国妇幼保健》2016年第23期5178-5180,共3页Maternal and Child Health Care of China

基　　金：河北省医学科学研究重点课题计划(20160841)

摘　　要：目的探讨胎儿心脏超声检查在产前筛查中的临床价值。方法选取1872例孕22～28周的孕妇，采用GE VOLUSON E8彩色多普勒超声诊断仪由胸部至腹部各个切面逐一扫查的方法，对胎儿心内结构及血流情况进行系统筛查。将诊断为胎儿心脏发育异常的病例结果与孕妇引产后的尸检结果和新生儿心脏超声检查结果进行比较。结果1872例胎儿中共33例出现了心脏结构异常的情况，其中经产前胎儿心脏彩超筛查确诊30例，漏诊3例，胎儿心脏超声检查胎儿心脏畸形诊断准确率为90．91％。漏诊的为室间隔缺损（肌部）2例，肺静脉异位引流1例。结论胎儿心脏超声检查作为一种经济、实用且无创的检查手段，对于胎儿先天性心脏病的检出率较高，有助于降低此类缺陷患儿的出生率，更好地落实优生优育政策。Objective To explore the clinical value of fetal echocardiography in prenatal screening. Methods A total of 1 872 pregnant women （22-28 gestational weeks） were selected, GE VOLUSON E8 color Doppler ultrasound diagnostic apparatus was used to scan the sections of chest and abdomen one by one, intracardiac structure and blood flow were screened systematically. The abnormal results of echocardiography were compared with autopsy results after induced abortion and results of neonatal echocardiography. Results Among 1 872 fetuses, 33 cases were found with cardiac structural abnoranalities. Thirty cases were diagnosed by prenatal echocardiography, three cases （two cases with interventricular septal defect at septa mnsculare veutriculorum and one case with anomalous pulmonary venous drainage ） were missed diagnosed, the diagnostic accurate rate of fetal echocardiography for fetal heart malformations was 90. 91%. Conclusion As an eco-nomic, practical, and non-invasive examination means, the detection rate of fetal echocardiography is high for fetal congenital heart diseases, which can reduce the birth rate of neonates with congenital heart diseases and implement eugenic policies.

关 键 词：胎儿 胎儿先天性心脏病 彩色多普勒超声 

分 类 号：R714.5[医药卫生—妇产科学]