应用彩超的腹腔横切面筛查胎儿先天性心血管畸形的诊断  

Application of color Doppler ultrasound in the diagnosis of fetal congenital cardiovascular malformation

作　　者：黄梅凤 

机构地区：[1]广西贺州市人民医院超声科,广西贺州542899

出　　处：《黑龙江医药科学》2017年第5期43-45,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:研究腹腔横切面筛查胎儿先天性心血管畸形的诊断价值。方法:选取2013-01~2015-12来我院进行产检并在我院进行分娩的267例产妇进行胎儿腹腔横切面超声检查,使用Voluson E8检查胎儿所有系统有无异常及畸形,观察下腔静脉、主动脉和奇静脉的数目、直径及位置有无异常。结果:存在35例腹腔横切面异常,9例位置异常,14例奇静脉扩张型,5例数目增多型,7例混合型,产后4个月内或引产尸检结果均与腹腔横切面筛查结果一致。超声产检对CCVD的诊断敏感性为60.34%,确诊率为91.38%。结论:彩超腹腔横切面检查方式单一,获许信息较少,各种异构类型典型特征不一,为了提高筛选的精准度应结合不同切面进行超声检验,降低CCVD带来的危害。Objective：To investigate the diagnostic value of abdominal transverse section in screening fetal congenital cardiovascular malformation.Method：267 cases of maternal to our hospital for production inspection and delivery were selected from January 2013 to December 2015.Fetal abdominal transverse section ultrasound examination was administrated to all cases.E8 Voluson was used to examine the abnormalities and deformities of all the fetal system.The number,diameter and position of the inferior vena cava,aorta and odd vein were observed.Results：There were 35 cases of abdominal transverse section,9 cases of abnormal position,14 cases of abnormal vein dilation,5 cases of increased number,7 cases of mixed type.Results 4 months postpartum or autopsy results were consistent with the abdominal transverse section inspection.The diagnostic sensitivity of ultrasound examination in the diagnosis of CCVD was 60.34%,and the confirmed diagnosis rate was 91.38%.Conclusion：Color Doppler ultrasound abdominal transverse examination mode is single,less effective for getting information.Heterogeneous types are typically characterized by different characteristics.In order to improve the accuracy of screening,different sections for ultrasonic testing should be combined to reduce the harm caused by CCVD.

关 键 词：腹腔横切面 先天性心血管疾病 超声 产检 

分 类 号：R445.1[医药卫生—影像医学与核医学]