摘要
目的探讨彩色多普勒超声在诊断新生儿先天性心脏病(CHD)中的应用价值。方法对2006年1月~2008年12月我院妇产科疑似有新生儿先天性心脏病的患儿137例进行彩色多普勒超声检查,并对其影像特征进行分析。结果本组疑似新生儿CHD患儿137例中共检出CHD患儿90例,检出率为65.69%。新生儿CHD中室间隔缺损47例,占52.22%;单纯室间隔缺损36例,合并其他畸形11例;膜部缺损34例,其中呈瘤状缺损15例;嵴部缺损9例,肌部缺损4例。本组CHD中房间隔缺损26例,占28.89%;其中4例合并有动脉导管未闭。本组动脉导管未闭患儿14例,占15.55%;三尖瓣下移畸形、心内膜垫缺损、先天性肺动脉扩张各1例,占1.11%。结论彩色超声多普勒检查新生儿先天性心脏病具有无创伤、操作简单、廉价的优点,能有效地对新生儿先天性心脏病做出早期诊断。
Objective:to approach the application value of color Doppler ultrasound in diagnosing neonatuses with congenital heart disease(CHD).Methods:to give color Doppler sonography to 137 neonatuses with doubtful CHD in our department of gynaecology and obstetrics from January in 2006 to December in 2008,and analyze the screenage.Results:totally 90 neonatuses with CHD are detected in doubtful 137 neonatuses,the detection rate is 65.69%.of the 90 neonatuses with doubtful CHD,47 with interventricular septal defect,the detection rate is 52.22%; 36 with interventricular septal defect of which 11 with other affiliated abnormity;34 with membranous part,of which 15 with neoplasma-shape defect; 9 with crista,of which 4 with muscular part defect.14 with A-P fistula or window,the rate is 15.55%; of which 1 with Ebstein's anomaly,1 with endocardial cushion defect and 1with inborn lung arteriectasis,the rate is 1.11%.Conclusion:the application of color Doppler ultrasound in diagnosing neonatuses with congenital heart disease is non-traumatic,simple and low-cost and it can effectively help to have early diagnosis of neonatuses with congenital heart disease.
出处
《中国优生与遗传杂志》
2010年第4期119-120,共2页
Chinese Journal of Birth Health & Heredity
关键词
彩色多普勒超声
新生儿
先天性心脏病
Color Doppler ultrasound
Neonatus
Congenital heart disease(CHD)