心脏超声筛查在胎儿先天性心脏病诊断中的应用价值

目的：比较常规超声检查与常规超声检查加胎心检查在胎儿先天性心脏病诊断中的应用价值，并分析胎儿先天性心脏病的危险因素。方法以2013年4月－2014年8月在我院健康检查的4000名孕妇为研究对象，按照数字数表法随机分为观察组和对照组。观察组采用常规超声检查＋胎心检查，对照组采用常规超声检查，比较两组的检查结果，对筛查出怀有先天性心脏病胎儿的孕妇进行危险因素调查。结果常规超声检查加胎心产前检查发现9例先天性心脏病胎儿，漏检1例，诊断准确率为90％。常规超声产前检查发现3例先天性心脏病胎儿，漏查2例，诊断准确率为40％，两组间差异具有统计学意义（ P＜0．05）。结论常规超声检查加胎心检查用于先天性心脏病筛查准确率高于常规超声检查对照组，值得临床推广。

Value evaluation of fetal cardiac ultrasound in the detection of congenital heart disease

Objective To compare the value of conventional ultrasound and conventional ultrasound in the diagnosis of fetal congenital heart disease, and to analyze the risk factors of fetal congenital heart disease, and to reduce the incidence of neonatal con?genital heart disease. Methods A total of 4000 pregnant women April 2013 to August 2014 in our hospital were randomly divided into the observation group and the control group according to the digital table method. The observation group gave conventional ultrasound and fetal heart examination. Patients in control group were treated with routine ultrasound examination. To compare the test results with the actual situation;and to screen out risk factors of pregnant women with fetal congenital heart disease. Results 9 cases of congenital heart disease were detected by conventional ultrasound and fetal heart examination, of 8 cases were diagnosed with congenital heart dis?ease, and the diagnostic accuracy rate was 90%;3 cases were diagnosed with congenital heart disease by conventional ultrasound ex?amination, and the diagnostic accuracy rate was 40%. The difference was statistically significant ( P<0.05) . Conclusion The accu?racy of routine ultrasound examination and fetal heart examination in screening of congenital heart disease is higher than that of the con?trol group, which is worthy of clinical application.