超声心动图在胎儿先天性心脏病筛查中的应用观察  

Application of Echocardiogram in the Screening of Fetal Congenital Heart Disease

作　　者：董琼[1] 陈轶杰[1] 崔培培[1] DONG Qiong;CHEN Yi-jie;CUI Pei-pei(Department of Ultrasonography,Zhengzhou First People's Hospital,Zhengzhou 450000,Henana Province,China)

机构地区：[1]郑州市第一人民医院超声科,河南郑州450000

出　　处：《罕少疾病杂志》2020年第6期19-20,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的探究超声心动图在胎儿先天性心脏病筛查中的作用。方法选取2018年1月至2019年1月作胎儿心脏筛查的孕妇100例,通过超声心动图观察胎儿四腔心、左右室流出道、主动脉弓、动脉导管弓、三血管气管、上下腔静脉等心脏结构,分析其临床应用价值。结果100例孕妇中筛查出胎儿患先天性心脏病有5例,其中室间隔缺损1例,心内膜垫缺损2例,法洛四联症2例,漏诊1例肺动脉瓣狭窄;超声心动图筛查孕早期胎儿先天性心脏病的敏感度为83.33%,特异度为100%。结论应用超声心动图可有效、无创性筛查出孕早期有先天性心脏病的胎儿,有助于降低出生婴儿死亡率。Objective To investigate the role of echocardiogram in the screening of fetal congenital heart disease.Methods 100 pregnant women who underwent fetal heart screening from January 2018 to January 2019 were enrolled.The cardiac structures such as four-chamber heart,left and right ventricular outflow tract,aortic arch,arterial catheter arch,tri-vascular trachea and superior and inferior vena cava of fetus were observed by echocardiogram.Itclinical application value was analyzed.Results Among the 100 pregnant women,there were 5 cases with congenital heart disease,including 1 case with ventricular septal defect,2 cases with endocardial pad defect and 2 cases with tetralogy of Fallot.There was 1 case with pulmonary valve stenosis missing the diagnosis.The sensitivity and specificity of echocardiogram for screening fetal congenital heart disease in early pregnancy were 83.33%and 100%,respectively.Conclusion The application of echocardiogram can effectively and non-invasively screen the fetuses with congenital heart disease in early pregnancy,which can help reduce mortality rate of infants.

关 键 词：超声心动图 孕早期 先天性心脏病 产前 

分 类 号：R445.1[医药卫生—影像医学与核医学] R541.1[医药卫生—诊断学]