胎儿超声心动图在胎儿先天性心脏病筛查中的应用价值分析  

Analysis on the Application Value of Fetal Echocardiography in the Screening of Fetal Congenital Heart Disease

作　　者：李娟 LI Juan(Department of Ultrasound,Jian'an District Maternal and Child Health Hospital,Xuchang 461100,China)

机构地区：[1]许昌市建安区妇幼保健院超声科,河南许昌461100

出　　处：《临床医学工程》2024年第8期909-910,共2页Clinical Medicine & Engineering

摘　　要：目的分析胎儿超声心动图对胎儿先天性心脏病的筛查价值。方法选取2021年4月至2023年4月于我院行产前筛查的181例孕妇,均接受胎儿超声心动图检查。记录先天性心脏病胎儿的检出情况,比较先天性心脏病与非先天性心脏病胎儿的超声心动图主动脉、肺动脉血流参数,探讨血流参数对先天性心脏病胎儿的筛查价值。结果181例孕妇中,“金标准”共检出9例先天性心脏病胎儿,检出率为4.97%(9/181)。先天性心脏病胎儿的ESRV、VTI均高于非先天性心脏病胎儿,PSV、ET、ACT均低于非先天性心脏病胎儿(P<0.05)。ROC曲线显示,PSV、ESRV、VTI、ET、ACT联合筛查先天性心脏病胎儿的AUC高于各项指标单独筛查。结论胎儿超声心动图对先天性心脏病胎儿具有一定的筛查价值。Objective To analyze the screening value of fetal echocardiography for fetal congenital heart disease.Methods A total of 181 pregnant women who underwent prenatal screening in our hospital from April 2021 to April 2023 were selected,and all cases were examined by fetal echocardiography.The detection of fetuses with congenital heart disease was recorded.The echocardiographic aortic and pulmonary artery blood flow parameters of fetuses with congenital heart disease and non-congenital heart disease were compared,and the screening value of blood flow parameters for fetuses with congenital heart disease was discussed.Results Among the 181 pregnant women,9 fetuses with congenital heart disease were detected by the"gold standard",with the detection rate of 4.97%(9/181).The ESRV and VTI of fetuses with congenital heart disease were higher than those of fetuses without congenital heart disease,and PSV,ET and ACT were lower than those of fetuses without congenital heart disease(P<0.05).ROC curve showed that the AUC of PSV,ESRV,VTI,ET combined with ACT in the screening of fetuses with congenital heart disease was higher than that of each index alone.Conclusions Fetal echocardiography has certain screening value for fetuses with congenital heart disease.

关 键 词：先天性心脏病 胎儿超声心动图 血流参数 筛查价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]