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应用超声心动图筛查胎儿先心病的临床研究
引用本文:张晓航,李锐,郭燕丽,张萍,薛雅方. 应用超声心动图筛查胎儿先心病的临床研究[J]. 临床超声医学杂志, 2006, 8(2): 72-75
作者姓名:张晓航  李锐  郭燕丽  张萍  薛雅方
作者单位:400038,重庆,第三军医大学附属西南医院超声科;400038,重庆,第三军医大学附属西南医院超声科;400038,重庆,第三军医大学附属西南医院超声科;400038,重庆,第三军医大学附属西南医院超声科;400038,重庆,第三军医大学附属西南医院超声科
基金项目:第三军医大学附属西南医院计划生育技术中心专项基金资助(SWH2005006)
摘    要:目的探讨超声心动图在产前筛查胎儿先天性心脏病的临床价值。方法对1537例孕妇行胎儿超声心动图检查,观察胎儿四腔心切面、左右室流出道切面、主动脉弓、动脉导管弓切面及腔静脉长轴切面二维声像图,并结合彩色多普勒进行分析。结果发现先天性心脏病22例,占1.43%,误诊1例,漏诊2例;敏感性90.91%,准确率99.87%。结论超声心动图诊断胎儿心脏畸形具有很高的敏感性及准确性,在胎儿产前畸形筛查中有重要的应用价值。

关 键 词:产前诊断  胎儿  心脏描记术  先天性心脏病
收稿时间:2006-10-22
修稿时间:2005-10-22

Clinical application of echocardiography in prenatal screening for fetal congenatal heart disease
Zhang Xiaohang, Li Rui, Guo Yanli, et al. Clinical application of echocardiography in prenatal screening for fetal congenatal heart disease[J]. Journal of Ultrasound in Clinical Medicine, 2006, 8(2): 72-75
Authors:Zhang Xiaohang   Li Rui   Guo Yanli   et al
Abstract:Objective To investigate the clinical value of fetal echocardiography in prenatal screening of congenital heart diseases.Methods There were 1 537 pregnant women in this study.Four-chamber,left and right ventricular out-flow,aortic arch view,ductus artery view and vena cava view were observed with two-dimension fetal echocardiography,and added with color Doppler echocardiography.Results Among 1 537 pregnancies,22 cases(1.43%) of fetal congenital heart diseases were correctly diagnosed,1 case was not detected,2 cases were misdiagnosed.The diagnostic sensitivity and accuracy of fetal echocardiography were 90.91% and 99.87% respectively.Conclusion Fetal echocardiography showed high sensitivity and accuracy in the diagnosis of congenital heart diseases,and is of great value in prenatal screening of fetal congenital diseases.
Keywords:Prenatal diagnosis   Fetus   Echocardiography   Congenital heart defect
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