超声筛查胎儿心脏异常的临床分析

目的探讨超声重筛查胎儿心脏异常的简便、有效方法及临床价值.方法应用四腔心及两心室流出道切面常规产前超声检查胎儿心脏,如发现异常,再进行进一步详细的胎儿超声心动图检查.结果共检出25例胎儿心脏异常,其中9例经尸检病理检查证实,8例出生一月内行超声心动图检查证实.结论四腔心加两心室流出道切面作为胎儿心脏异常的初步筛选手段简单易行,可发现大多数的胎儿心脏异常(包括大动脉畸形),可作为产前胎儿超声检查的常规项目.

Prenatal echocardiographic for fetal congenital heart deseases

Objective:To investigate the efficacy and clinical value of prenatal echocardiographic screen-ing for fetal congenital heart diseases.Methods:All fetuses had been scanned in four-chamber plane and two ventricular outflow tract planes.In case cardiac anomalies were detected,more detailed planes visualizing the heart and great vessels from different directions were acquired and analyzed.Results:Cardiac anomalies were detected in25fetuses,among whom9cases were confirmed by autopsy after induced labor,8cases by echocardiography after birth and2cases by operation.Conclusions:Four-chamber plane and two ventricular outflow tract planes is a simple and effective technique of prenatal echocardiolgraphic screening for fetal con-genital heart diseases.It car detect most fetal cardiac anomalies(including great vessels anomalies),and should be performed as a routine means of prenatal echocardiographic screening for fetal congenital heart dis-eases.