摘要
目的探讨胎儿超声心动图在高危妊娠产前筛查中的意义。方法应用西门子SonolineG60S型彩色多普勒超声诊断仪对570例孕龄在22-40周的高危妊娠孕妇行胎儿超声心动图检查,并将产前超声检查与胎儿尸检或分娩后超声心动图检查结果进行对照。同时检测孕龄在22-40周无明显高危妊娠因素的孕妇750例,作为平行对照组。结果检出72例心脏异常,先天性心脏畸形47例,先心病检出率为3.56%,其中高危组41例,先心病检出率为7.2%;对照组6例,检出率为0.8%。另外发现左室腔内强回声8例,心包积液3例,三尖瓣少量反流14例。结论超声心动图常规及系统诊断技术是诊断胎儿先天性心脏病较完善、可靠的方法,对检测胎儿心脏畸形有着十分重要的临床应用价值,对高危妊娠孕妇更应及早行常规胎儿心脏超声心动图检查胎儿。单纯性心包积液或单纯性少量三尖瓣反流或单纯心脏内有点状强回声,不能作为终止妊娠的指标。
Objective：To study the significance of fetal echocardiography in high-risk pregnancy in the of prenatal screening.Methods：570 cases of gestational age between 22 and 40 weeks in high-risk pregnancy are detected in fetal echocardiography by Siemens Sonoline G60S diagnostic color Doppler ultrasound,and the results of prenatal ultrasound and fetal autopsy and echocardiography after delivery are compared.At the same time,as a parallel control group,750 cases of pregnant women of gestational age in the 22 -40 weeks of pregnancy who had no significant factors in high-risk are detected.Results：Some cases are detected such as 72 cases of cardiac anomalies,47 cases of congenital heart defects.The congenital heart disease detection rate is 3.56%,of which 41 cases of high-risk group,the detection rate of congenital heart disease is 7.2%.On the other hand,to the comparison group,six cases of which are detected ,and the rate is 0.8%.In addition,some cases are also found such as strong echo of the left ventricular cavity in 8 cases,3 cases of pericardial effusion,tricuspid valve a small amount of 14 cases of reflux.Conclusion：The echocardiography diagnostic techniques and systems of conventional diagnosis on fetal congenital heart disease are better and reliable ,and it has a very important clinical value for detection of fetal cardiac malformations.The high-risk pregnancy should be detected earlier by fetal echocardiography.Simple pericardial effusion or a small number of simple or pure tricuspid regurgitation with a little heart-shaped strong echo should not be used as an indicator of pregnancy termination.
出处
《中国优生与遗传杂志》
2010年第4期117-118,129,共3页
Chinese Journal of Birth Health & Heredity
关键词
胎儿超声心动图
高危妊娠
筛查
意义
Fetal echocardiography
High-risk pregnancy
Screening
Significance
