| 三节段分析法诊断胎儿先天性心脏病的临床应用研究 |
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| 引用本文： | 黄彩欢,黄丽卿,庄景辉,杨桂兰.三节段分析法诊断胎儿先天性心脏病的临床应用研究[J].中国妇幼保健,2010,25(8). |
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| 作者姓名： | 黄彩欢 黄丽卿 庄景辉 杨桂兰 |
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| 作者单位： | 1. 广东省中山市广济医院超声科,528427
2. 中山市博爱医院超声科 |
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| 摘 要： | 目的:探讨三节段分析法在胎儿心脏先天畸形(CHD)筛查中的临床应用价值。方法:自2006年6月起用此方法对5680例产前常规三维超声系统筛查的孕妇进行胎儿心脏筛查,首先确定胎儿心脏位置及心轴,然后用三节段分析法进行分析。二维超声显示四腔心、左右室流出道、心底短轴、主动脉弓、动脉导管弓及三血管切面,重点观察二尖瓣、三尖瓣、主动脉瓣、肺动脉瓣的启闭情况,再用彩色多普勒观察胎儿心脏各瓣膜的血流情况。结果:5680例行产前常规三维超声系统筛查的孕妇中,产前确诊28例,检出率为0.49%;产后超声心动图证实产前漏诊5例,漏诊率为0.09%。结论:①三节段分析法应用胎儿心脏超声检查,它能帮助发现许多胎儿心脏结构异常,对妊娠筛选、分娩处理及产后干预有重要意义;②三节段分析法对单纯性室缺有局限性;③胎儿四腔心切面能显示心脏许多解剖结构,是进行节段性分析检查的重要切面。
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| 关 键 词： | 三节段分析法 胎儿 临床应用 |
Clinical applied study of three-section analytical method in diagnosing fetus congenital hean disease |
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| HUANG Cai-Huan,HUANG Li-Qing,ZHUANG Jing-Hui et al.Clinical applied study of three-section analytical method in diagnosing fetus congenital hean disease[J].Maternal and Child Health Care of China,2010,25(8). |
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| Authors: | HUANG Cai-Huan HUANG Li-Qing ZHUANG Jing-Hui |
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| Institution: | HUANG Cai-Huan,HUANG Li-Qing,ZHUANG Jing-Hui et al.Guangji Hospital of Zhongshan City,Zhongshan 528427,Guangdong,China |
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| Abstract: | Objective:To study the clinical application value of three-section analytical method in fetus heart congenital malformation (CHD).Methods:5 680 antenatal pregnant women were attended fetus heart screening in the screening of conventional three-dimensional supersonic system in our hospital since June,2006. Based on the screening result, it firstly defined fetus heart position and the spindle. And four cavity hearts, left and right ventricular outflow tract, moral nature minor axis, the arch of the aorta, the... |
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| Keywords: | Three-section analytical method Fetus Clinical application |
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