产前超声在胎儿心血管畸形中的诊断价值

目的：探讨产前超声在胎儿心血管畸形诊断中的价值。方法：选取本院2010年1月至2013年12月收治的35例疑似胎儿心血管畸形的孕妇为研究对象，将其采用二维超声及二维联合三维超声进行检查，然后将两种检查方式的检查结果与最终病理检查结果进行对照，统计及比较两种检查方法对各种类型心血管畸形的正确诊断率，同时比较两种方法的敏感度、特异度、阳性预测值及阴性预测值进行比较。结果：二维联合三维超声对各种类型心血管畸形的正确诊断率均高于二维超声，且其敏感度、特异度、阳性预测值及阴性预测值也均高于二维超声，P 均＜0．05，均有显著性差异。结论：产前二维联合三维超声检查在胎儿心血管畸形中的诊断价值较高，可作为胎儿心血管畸形的重要检查方法，临床价值较高。

The Value of Prenatal Ultrasound in Diagnosing the Fetal Cardiovascular Malformations

Objective：To investigate the diagnostic value of prenatal ultrasound for fetal cardiovascular malformations .Method：35 suspected pregnant women with fetal cardiovascular malformations in our hospital from January 2010 to December 2013, were the research object ,and all the patients were respectively detec-ted with only two-dimensional ultrasound and two-dimensional ultrasound combined with three-dimensional ultrasound ,then the detection results of two detection methods were compared with final pathologic results , and the correct diagnosic rates of two detection methods for all the types of cardiovascular malformations were analyzed and compared ,the sensitivity,specificity,positive predictive value and negative predictive value of two detection methods were compared .Result：The correct diagnosic rates of two-dimensional ultrasound combined with three-dimensional ultrasound for all the types of cardiovascular malformations were all higher than those of only two-dimensional ultrasound , and the sensitivity , specificity , positive predictive value and negative predictive value were all higher than those of only two-dimensional ultrasound too ,all P〈0.05,there were all significant differences .Conclusion：The diagnostic value of the prenatal ultrasound for fetal cardiovas-cular malformations is higher ,and it can be as the important detection method for the fetal cardiovascular mal-formations,The clinical value is higher .