三维超声联合超声断层显像技术检查在胎儿先天性心脏病诊断中的效能  

Efficiency of three-dimensional ultrasound combined with tomographic ultrasound imaging in diagnosis of fetal congenital heart disease

作　　者：施育华 SHI Yuhua(Department of Medical Imaging of Maternal and Child Health Hospital of Jiaozuo City,Jiaozuo 454000 Henan,China)

机构地区：[1]焦作市妇幼保健院医学影像科,河南焦作454000

出　　处：《中国民康医学》2025年第6期129-131,135,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察三维超声联合超声断层显像技术(TUI)检查在胎儿先天性心脏病诊断中的效能。方法:选取2018—2022年该院收治的60例疑似胎儿先天性心脏病的孕妇进行前瞻性研究,所有孕妇均进行三维超声、TUI检查,以产后随访或尸解结果为“金标准”,比较三维超声、TUI单项及联合检查诊断先天性心脏病的效能及对不同类型先天性心脏病的检出率。结果:以产后随访或尸解结果为金标准,60例疑似胎儿先天性心脏病的孕妇中诊断阳性21例,包含室间隔缺损6例、法洛四联症4例、动脉导管未闭6例、房间隔缺损5例,阴性39例;三维超声检查诊断阳性17例,阴性43例;TUI检查诊断阳性18例,阴性42例;联合检查诊断阳性25例,阴性35例;三维超声联合TUI检查诊断胎儿先天性心脏病的灵敏度、阴性预测值均高于二者单项检查,漏诊率均低于二者单项检查,差异有统计学意义(P<0.05);三维超声联合TUI检查对不同类型先天性心脏病的检出率高于二者单项检查,差异有统计学意义(P<0.05)。结论:三维超声联合TUI检查在胎儿先天性心脏病诊断中的效能高于二者单项检查。Objective:To observe efficiency of three-dimensional ultrasound combined with tomographic ultrasound imaging(TUI)in diagnosis of fetal congenital heart disease.Methods:A prospective study was conducted on 60 pregnant women with suspected fetal congenital heart disease admitted to the hospital from 2018 to 2022.All pregnant women were examined by three-dimensional ultrasound and TUI.Using the postpartum follow-up or autopsy results as the‘gold standard’,the efficiency of single and combined examination of three-dimensional ultrasound and TUI in the diagnosis of fetal congenital heart disease and the detection rates of different types of congenital heart disease were compared.Results:The results of the gold standard of postpartum follow-up or autopsy showed that among the 60 pregnant women with suspected fetal congenital heart disease,21 cases were diagnosed as positive,including 6 cases of ventricular septal defect,4 cases of tetralogy of Fallot,6 cases of patent ductus arteriosus,5 cases of atrial septal defect and 39 negative cases.Three-dimensional ultrasound diagnosis was positive in 17 cases and negative in 43 cases.TUI diagnosis was positive in 18 cases and negative in 42 cases.The combined examination showed 25 positive cases and 35 negative cases.The sensitivity and the negative predictive value of three-dimensional ultrasound combined with TUI in the diagnosis of fetal congenital heart disease were higher than those of the two single examinations,the missed diagnosis rate was lower than that of the two single examinations,and the differences were statistically significant(P<0.05).Further the detection rate of three-dimensional ultrasound combined with TUI examination for different types of fetal congenital heart disease was higher than that of the two single examinations,and the difference was statistically significant(P<0.05).Conclusions:The efficiency of three-dimensional ultrasound combined with TUI in the diagnosis of fetal congenital heart disease is higher than that of the two single examination

关 键 词：胎儿先天性心脏病 三维超声 超声断层显像技术 诊断 

分 类 号：R714.55[医药卫生—妇产科学]