四维超声联合经腹部超声心动图在胎儿先天性心脏病诊断中的应用价值  

Application value of four-dimensional ultrasound combined with transabdominal echocardiography in the diagnosis of fetal congenital heart disease

作　　者：关凤喜 陈英锋 GUAN Fengxi;CHEN Yingfeng(Department of ultrasound,Yanggu County People's Hospital,Liaocheng,Shandong 252300,China)

机构地区：[1]阳谷县人民医院超声科,山东聊城252300

出　　处：《影像研究与医学应用》2023年第9期10-12,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨四维超声联合经腹部超声心动图在胎儿先天性心脏病(congenital heart disease,CHD)诊断中的临床价值。方法:选取2021年1月—2022年6月于阳谷县人民医院行CHD筛查的1453例孕妇,均开展经腹部超声心动图检查、四维超声检查,统计CHD检出情况及分布类型,以妊娠终止后检查结果为金标准,分析经腹部超声心动图检查、四维超声联合经腹部超声心动图诊断胎儿CHD的临床价值。结果:1453例孕妇金标准显示22例胎儿CHD,四维超声联合经腹部超声心动图诊断胎儿CHD的灵敏度、准确率及阴性预测值均高于经腹部超声心动图检查,差异有统计学意义(P<0.05);四维超声联合经腹部超声心动图对不同疾病类型检出准确率为95.45%,高于经腹部超声心动图的63.64%,差异有统计学意义(P<0.05)。结论:四维超声联合经腹部超声心动图可提高胎儿CHD诊断灵敏度、准确率,降低漏诊、误诊风险,便于早期针对性干预,实现优生优育。Objective To explore the clinical value of four-dimensional ultrasound combined with transabdominal echocardiography in the diagnosis of fetal congenital heart disease(CHD).Methods A total of 1453 pregnant women who underwent CHD screening in Yanggu County People's Hospital from January 2021 to June 2022 were selected.Abdominal echocardiography and four-dimensional ultrasound were performed to analyze the detection and distribution of CHD.The results of post-termination examination were used as the gold standard.To analyze the clinical value of transabdominal echocardiography,four-dimensional ultrasound combined with transabdominal echocardiography in diagnosing fetal CHD.Results The gold standard for 1453 pregnant women showed 22 cases of fetal CHD.The sensitivity,accuracy and negative predictive value of four-dimensional ultrasound combined with transabdominal echocardiography were higher than those of transabdominal echocardiography,and the difference was statistically significant(P<0.05).The detection accuracy of four dimensional ultrasound combined with transabdominal echocardiography was 95.45%,which was higher than 63.64%of transabdominal echocardiography,the difference was statistically significant(P<0.05).Conclusion The combination of four-dimensional ultrasound and transabdominal echocardiography can improve the sensitivity and accuracy of fetal CHD diagnosis,reduce the risk of missed diagnosis and misdiagnosis,facilitate early targeted intervention,and achieve eugenics and fertility.

关 键 词：先天性心脏病 四维超声 经腹部超声心动图 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]