彩色多普勒超声心动图诊断孕中期孕妇胎儿先天性心脏病的应用价值  

Application value of color Doppler echocardiography in the diagnosis of fetal congenital heart disease in second trimester of pregnancy

作　　者：李翔 夏燕 Li Xiang;Xia Yan(Department of Imaging,Urumqi Maternal and Child Health Hospital,Urumqi,Xinjiang 830000,China)

机构地区：[1]乌鲁木齐市妇幼保健院影像科,新疆乌鲁木齐830000

出　　处：《影像研究与医学应用》2021年第1期15-16,共2页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨在孕中期孕妇胎儿先天性心脏病诊断中应用彩色多普勒超声心动图的价值。方法:选取2017年1月—2019年1月在我院就诊的孕中期(孕22~26W)孕妇500例,均采取彩色多普勒超声心动图诊断。其中有86例胎儿结果存在心脏异常情况,占比为17.20%。依照胎儿的实际情况和孕妇的意愿选择引产或者妊娠正常分娩,在产后2周对新生儿进行彩色多普勒超声心动图诊断,并对不同切面进行筛查,判定彩色多普勒超声心动图对胎儿先天性心脏病诊断的准确性。结果:500例孕妇中,存在86例孕中期孕妇胎儿心脏异常情况,其中82例新生儿心脏异常情况与诊断结果相符,其余4例包含1例合并永存动脉干,1例心包积液消失,2例引产后拒绝解剖。阴性例数有414例,其中有2例失访、1例出生后发现室间隔缺损、2例出生后存在房室间隔缺损,共计491例与诊断相符,5例存在漏诊或误诊情况,4例失访,诊断符合率为98.20%(491/500)。结论:在孕中期孕妇胎儿先天性心脏病诊断中应用彩色多普勒超声心动图方法,其检出率较高,降低畸形儿出生概率,使人口整体质量提升。Objective To explore the value of color Doppler echocardiography in the diagnosis of fetal congenital heart disease in pregnant women in the second trimester.Methods From January 2017 to January 2019,500 cases of pregnant women in the second trimester who visited our hospital were selected for the study period.All cases were diagnosed by color Doppler echocardiography.There were 86 fetuses with abnormal heart condition,accounting for 17.20%.According to the actual situation of the fetus and the pregnant woman's wish to choose induced labor or normal pregnancy delivery,the newborn was diagnosed with color doppler echocardiography two weeks after the delivery,and different sections were screened to determine the accuracy of color Doppler echocardiography in the diagnosis of fetal congenital heart disease.Results Among the 100 pregnant women,there were 86 fetuses with abnormal cardiac conditions in the second trimester of pregnancy,among which 82 neonates had abnormal cardiac conditions consistent with the diagnostic results.The remaining 4 cases included 1 case with persistent trunk of artery,1 case with pericardial effusion disappeared,and 2 cases refused to be dissected after induced labor.There were 414 negative cases,among which 2 were lost to follow-up,1 was found to have ventricular septal defect after birth,and 2 were found to have ventricular septal defect after birth.A total of 491 cases were consistent with the diagnosis,5 cases were missed or misdiagnosed,and 4 cases were lost to follow-up,and the diagnosis coincidence rate was 98.20%(491/500).Conclusion The application of color Doppler echocardiography in the diagnosis of fetal congenital heart disease in the second trimester of pregnancy has a higher detection rate,reduces the probability of birth of teratoma,and improves the overall quality of the population.

关 键 词：孕中期 孕妇 胎儿 先天性心脏病 诊断 彩色多普勒超声诊断心动图 

分 类 号：R540.45[医药卫生—心血管疾病]