摘要
目的 探讨超声检查对孕11～13＋6周胎儿心脏畸形的诊断价值.方法 选择进行产前检查的孕妇70例,以引产结果、产后影像学检查结果为标准,观察超声对11～13＋6周胎儿心脏畸形的检出情况,对不同切面对心脏畸形显示情况进行比较.结果 70例存在心脏畸形的胎儿中,畸形种类包括法洛四联症、右室双出口、完全性心内膜垫缺损、大动脉转位、永存动脉干、主动脉弓离断、静脉异位引流.超声共准确诊断64例胎儿心脏畸形,诊断准确率91.4%.其中,法洛四联症比例最高（42.9%）,静脉异位引流比例最低（2.9%）.4CV＋3VVT超声切面对胎儿心脏畸形诊断率最高,为91.4%,显著高于4CV＋VOTV（72.2%）、4CV＋（AR-SAV）（68.6%）及4CV切面,差异有统计学意义（x2=7.643、5.324、4.447,均P＜0.05）.4CV＋3VV超声切面对胎儿心脏畸形诊断准确率为88.6%,显著高于4CV＋（AR-SAV）及4CV切面,差异有统计学意义（x2=6.343、4.011,均P＜0.05）.结论 超声能够显示孕11～13＋6周胎儿心脏畸形,其中4CV＋3VVT超声切面诊断准确率最高.
Objective To investigate the value of ultrasound in diagnosis of fetal heart malformation at 11-13＋6 weeks gestation.Methods A total of 70 pregnant women were selected,based on the results of induction of labor and postnatal imaging examination, the effect of ultrasound on fetal heart abnormalities in 11-13＋6 weeks was observed.The display of cardiac malformations with different cuts was compared.Results In 70 fetuses with cardiac malformations, malformation types included tetralogy of Fallot, double outlet right ventricle, complete endocardial cushion defect, transposition of the great arteries, persistent truncus arteriosus, aortic arch, venous drainage.Ultrasound diagnosis of 64 cases of fetal cardiac malformations, the diagnostic accuracy rate was 91.4%.Among them, the highest proportion of tetralogy of Fallot （42.9%）, venous drainage was the lowest （2.9%）.The diagnostic rate of 4CV＋3VVT ultrasound for fetal heart malformation was the highest（91.4%）, which was significantly higher than 4CV＋VOTV（72.2%）, 4CV＋（AR-SAV）（68.6%） and 4CV, the differences were statistically significant （x2=7.643,5.324,4.447,all P〈0.05）.The diagnostic accuracy of 4CV＋3VV ultrasound for fetal heart malformation was 88.6%, which was significantly higher than 4CV＋ （AR-SAV） and 4CV section, the differences were statistically significant （x2=6.343,4.011,all P〈0.05）.Conclusion Ultrasound can be used to detect fetal heart malformation at 11-13＋6 weeks gestation, among them, the accuracy of 4CV＋3VVT ultrasound section is the highest.
出处
《中国基层医药》
CAS
2017年第11期1635-1638,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声检查
妊娠
心脏缺损
先天性
胎儿
Ultrasound
Pregnancy
Heart Defects
congenital
Fetus
