心脏超声“3+1”切面检查在胎儿先天性心脏畸形诊断中的效能  

Efficiency of echocardiography‘3+1’section examination in diagnosis of fetal congenital heart malformation

作　　者：岳阿丽 YUE Ali(Department of Ultrasound of Wugang People’s Hospital,Wugang 462500 Henan,China)

机构地区：[1]舞钢市人民医院超声科,河南舞钢462500

出　　处：《中国民康医学》2023年第21期123-125,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析心脏超声“3+1”切面(四腔心切面+左、右心室流出道切面+三血管切面)检查在胎儿先天性心脏畸形诊断中的效能。方法:回顾性分析2018年8月至2021年8月该院收治的908例孕妇的临床资料。所有孕妇均接受心脏超声“3+1”切面检查,以引产后尸检或产后复检结果为“金标准”,分析心脏超声“3+1”切面检查在胎儿先天性心脏畸形诊断中的价值,并采用Kappa检验分析心脏超声“3+1”切面检查结果与金标准的一致性。结果:金标准结果显示,908例孕妇中共检出先天心脏畸形胎儿21例,占2.31%;心脏超声“3+1”切面检查诊断胎儿先天性心脏畸形的准确度、灵敏度均高于四腔心切面+左、右心室流出道切面检查结果,差异有统计学意义(P<0.05);心脏超声“3+1”切面检查诊断胎儿先天性心脏畸形的特异度与四腔心切面+左、右心室流出道切面检查结果比较,差异无统计学意义(P>0.05);Kappa一致性检验结果显示,四腔心切面+左、右心室流出道切面检查和心脏超声“3+1”切面检查诊断胎儿先天性心脏畸形的结果与金标准的一致性分别为0.456、0.727,其中心脏超声“3+1”切面检查诊断胎儿先天性心脏畸形结果与金标准结果的一致性高于四腔心切面+左、右心室流出道切面检查诊断结果。结论:心脏超声“3+1”切面检查在胎儿先天性心脏畸形诊断中的效能高于四腔心切面+左、右心室流出道切面检查。Objective:To analyze efficiency of echocardiography"3+1"section(four-chamber view+left and right ventricular outflow tract view+three-vessel view)in diagnosis of fetal congenital heart malformation.Methods:The clinical data of 908 pregnant women admitted to the hospital from August 2018 to August 2021 were retrospectively analyzed.All pregnant women underwent echocardiography"3+1"section examination.Using the results of autopsy after induction of labor or postpartum reexamination as the"gold standard",the value of echocardiography"3+1"section examination in the diagnosis of fetal congenital heart malformation was analyzed.Kappa test was used to analyze the consistency between the results of echocardiography"3+1"section and the gold standard.Results:According to the gold standard results,21 cases of congenital heart malformation fetus were found in the 908 pregnant women,accounting for 2.31%.The accuracy and the sensitivity of echocardiography"3+1"section in the diagnosis of fetal congenital heart malformation were higher than those of four-chamber view+left and right outflow tract section,and the differences were statistically significant(P<0.05).There was no statistical difference in the specificity of"3+1"section of echocardiography in the diagnosis of fetal congenital heart malformation compared with the results of four-chamber section of echocardiography plus the section of left and right outflow tract Scientific significance(P>0.05);The results of Kappa consistency test showed that the consistencies between the results of four-chamber view+left and right outflow tract view and echocardiography"3+1"view in the diagnosis of fetal congenital heart malformation and the gold standard were 0.456 and 0.727,respectively.The consistency between the results of echocardiography"3+1"view in the diagnosis of fetal congenital heart malformation and the gold standard was higher than that of four-chamber view+left and right outflow tract view and the gold standard.Conclusions:The efficiency of echocardiography"3+1"section e

关 键 词：先天性心脏畸形 心脏超声 四腔心切面 三血管切面 诊断价值 

分 类 号：R741.5[医药卫生—神经病学与精神病学]