彩色多普勒超声在产前诊断胎儿先天性心脏复杂畸形中的应用  

Application of color Doppler ultrasound in antenatal diagnosis of fetal complex congenital heart malformation

作　　者：李学娟[1] 王欣 张荣[1] 边莹[1] 

机构地区：[1]惠州市第二妇幼保健院超声科,516000 [2]惠州市第一妇幼保健院超声科

出　　处：《中国实用医药》2017年第10期13-15,共3页China Practical Medicine

基　　金：惠州市科研计划项目(项目编号:0049989150507033)

摘　　要：目的探讨彩色多普勒超声在产前诊断胎儿先天性心脏复杂畸形中的应用价值。方法对1164例行产前检查的孕妇采用胎儿心脏彩色多普勒超声检查,其检查结果与经引产后的尸检及出生后胎儿检查结果进行对照。结果本研究检查的1164例胎儿中,产后胎儿检验结果或引产后胎儿尸检结果为192例单发心脏畸形,77例复杂畸形,另有8例单纯室间隔缺损、3例单纯肺动脉狭窄被漏诊。胎儿心脏彩超诊断心脏畸形的诊断符合率为99.05%(1153/1164),灵敏度为96.07%(269/280),特异度为100.00%(884/884),其中,诊断复杂心脏畸形的符合率为100.00%(77/77)。结论彩色多普勒超声诊断胎儿先天性心脏复杂畸形符合度高,其操作简便、无创,可为指导复杂先心的临床干预提供重要的技术支持。Objective To investigate application value by color Doppler ultrasound in antenatal diagnosis of fetal complex congenital heart malformation. Methods A total of 1164 pregnant women in antenatal examination received fetal cardiac color Doppler ultrasound examination to compare with examination outcomes by autopsy after labor induction and postnatal examination outcomes. Results Postnatal examination or examination outcomes by autopsy after labor induction of the 1164 fetus in this research showed 192 cases with single heart malformation, 77 cases with complex malformation, 8 misdiagnosed cases with single ventricular septal defect and 3 misdiagnosed cases with single pulmonary stenosis. Fetal cardiac color Doppler ultrasound examination had diagnostic accordance rate as 99.05%（1153/1164）, sensitivity as 96.07%（269/280） and specificity as 100.00%（884/884）. It had diagnostic accordance rate for complex heart malformation as 100.00%（77/77）. Conclusion Color Doppler ultrasound shows high accordance rate in diagnosis of complex congenital heart malformation. Its easy and noninvasive operation can provide important technical support for clinical intervention of complex congenital heart malformation.

关 键 词：先天性心脏复杂畸形 多普勒超声 产前诊断 胎儿 

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]