胎儿心脏超声规范化检查及结果解读  

Clinical Protocol and Interpretation of Fetal Echocardiography Examination

作　　者：孟红[1] 王剑鹏[1] MENG Hong;WANG Jianpeng(Echocardiography Imaging Center,Fuwai Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,National Center for Cardiovascular Diseases,Beijing 100037,China)

机构地区：[1]国家心血管病中心中国医学科学院阜外医院超声影像中心,北京100037

出　　处：《协和医学杂志》2021年第3期298-302,共5页Medical Journal of Peking Union Medical College Hospital

基　　金：云南省阜外心血管病临床医学中心项目(FZX2019-06-01-09)。

摘　　要：先天性心脏病(congenital heart disease,CHD)主要指心脏及大血管的局部解剖结构异常,具有高致残性和高致死性,是严重威胁人类健康的全球性心血管疾病。超声检查是目前临床上筛查、诊断CHD重要的无创诊断技术,可在妊娠18~22周行胎儿心脏超声筛查,并在合适孕周进行随诊。目前常用的超声检查方法包括二维灰阶显像、彩色多普勒血流显像及频谱多普勒超声心动图。时间-空间相关成像技术是在二维超声基础上建立的新技术,具有多种成像模式,可实现对心脏解剖结构显示和CHD诊断。规范的胎儿心脏超声检查及专业的超声结果解读可提高CHD的产前诊断质量,给予孕妇合理的产前咨询和产科管理,降低致死性CHD胎儿的出生,提高CHD患儿的生命质量,具有重要的临床价值和深远的社会意义。Congenital heart diseases(CHD)are a kind of defects of the heart and great vessels,which have high disabilities and high mortalities and are a serious threat to human health.Fetal echocardiography is a crucial noninvasive technique to screen and diagnose CHD.Fetal echocardiography can be started at the 18-22 gestational week,and be periodically reviewed during the gestation.Now fetal echocardiography examination includes two-dimensional,color Doppler and spectral Doppler imaging.Spatio-temporal image correlation(STIC)is an advanced technique based on two-dimensional echocardiography and has multiple imaging models.STIC technique shows cardiovascular spatial relations and morphologies for the diagnosis of CHD.Standardized fetal echocardiography and professional explanation are very important and helpful to provide optimal consultation and clinical management,to avoid the loss of operative opportunity due to delayed diagnosis,to decrease the birth of infants with fatal CHD,which has clinical value and social meaning.

关 键 词：先天性心脏病 胎儿心脏超声 预后 时间-空间相关成像技术 

分 类 号：R541.1[医药卫生—心血管疾病] R714.53[医药卫生—内科学]