超声四腔心切面联合三血管切面检测对胎儿心脏畸形的诊断效能分析  

Diagnostic efficiency analysis of fetal heart malformations by ultrasonography with four-chamber heart section combined with three-vessel section

作　　者：祝改革 Zhu Gai-ge(Department of Ultrasound,The Fifth People's Hospital of Shangqiu,Shangqiu 476000,Henan,China)

机构地区：[1]商丘市第五人民医院超声科,河南商丘476000

出　　处：《四川生理科学杂志》2024年第6期1389-1391,共3页Sichuan Journal of Physiological Sciences

摘　　要：目的:分析超声四腔心切面(Four chamber view,FCV)联合三血管切面(Three vessels view,3V)在胎儿心脏畸形中的诊断效能。方法:选取2019年6月至2022年2月期间本院收治的140例疑似胎儿心脏畸形产妇作为研究对象。产前均行胎儿超声心动图、超声FCV和3V检查,跟踪随访至产妇引产或分娩后新生儿心动图检查。将产妇引产结果或分娩后新生儿心动图检查结果作为“金标准”。分析比较超声FCV、3V及联合检测评估胎儿心脏畸形的价值。结果:经引产结果和分娩后新生儿心动图检查结果确定,140例疑似胎儿心脏畸形产妇中胎儿心脏畸形共115例;胎儿超声心动图诊断胎儿心脏畸形结果显示,阳性99例,阴性41例;胎儿超声心动图和超声FVC检测均发现胎儿心脏畸形99例,诊断符合率为80.00%;超声3V检测发现胎儿心脏畸形100例,诊断符合率为82.14%;超声FVC联合3V检测发现胎儿心脏畸形114例,诊断符合率为90.71%。以引产结果和分娩后新生儿心动图检查结果为“金标准”,超声FCV、3V和胎儿超声心动图联合检查评估胎儿心脏畸形的准确度、灵敏度均高于各自单独评估(P<0.05)。胎儿超声心动图、超声FCV、超声3V三者联合产前诊断胎儿心脏畸形与金标准一致性Kappa值最高。结论:超声FCV联合3V评估胎儿心脏畸形有一定的临床应用价值。Objective:To analyze the diagnostic efficacy of ultrasound with Four chamber view(FCV)combined with Three vessels view(3V)in fetal heart malformations.Methods:140 pregnant women with suspected fetal heart malformation admitted to our hospital from June 2019 to February 2022 were selected as the study objects.Fetal echocardiography,FCV and 3V examinations were performed before delivery,followed up to induction of labor or neonatal echocardiography after delivery.The results of induced labor or neonatal cardiogram after delivery are considered as the"gold standard".To analyze and compare the value of FCV,3V and combined ultrasonography in the evaluation of fetal heart malformation.Results:According to the results of induced labor and neonatal cardiogram after delivery,there were 115 cases of fetal heart malformation among 140 suspected patients.Fetal echocardiography showed positive in 99 cases and negative in 41 cases.Fetal echocardiography and FVC detection showed 99 cases of fetal heart malformation,the diagnosis coincidence rate was 80.00%.100 cases of fetal heart malformation were found by ultrasonic 3V detection,and the diagnostic coincidence rate was 82.14%.114 cases of fetal heart malformation were detected by FVC combined with 3V,and the diagnostic coincidence rate was 90.71%.With the results of induction of labor and post-delivery neonatal cardiogram as the"gold standard",the accuracy and sensitivity of FCV,3V and fetal echocardiography in the evaluation of fetal heart malformation were higher than that of individual evaluation(P<0.05).Fetal echocardiography,FCV and 3V combined prenatal diagnosis of fetal heart malformations had the highest Kappa value consistent with the gold standard.Conclusion:Ultrasound FCV combined with 3V has certain clinical value in evaluating fetal heart malformation.

关 键 词：胎儿心脏畸形 超声 四腔心切面 三血管切面 诊断价值 

分 类 号：R714.5[医药卫生—妇产科学]