基层医院进行超声筛查胎儿心脏畸形的临床意义

目的:探讨在基层医院对胎儿严重心脏畸形进行超声初步筛查的临床意义。方法:对妊娠18～38周的3 500例孕妇进行胎儿心脏超声筛查,筛查切面包括四腔心切面、左右室流出道切面及三血管切面。结果:发现胎儿的心血管发育异常15例,经产后超声心动图检查、引产后的尸体解剖结果对照后证实;漏诊1例,经出生后超声心动图检查证实。结论:通过四腔心切面、左右室流出道切面及三血管切面的筛查方法能诊断大部分严重心脏畸形,筛查方法简单,易于掌握,值得基层医院推广使用。

Clinical significance of ultrasound screening for congenital heart defect of fetuses in basic level hospital

Objective To study the clinical significance of ultrasonic preliminary screening for congenital heart defect of fetuses in basic level hospital.Method Carried out ultrasound preliminary screening of congenital heart defect for 3500 cases of pregnant women with 18-38 weeks pregnancy through four chamber view,left and light ventricular outflow tract section and three vessels section.Results Demonstrated 15 cases with congenital heart defect,which had been confirmed by postpartum echocardiography or autopsy after induced labor,only 1 case had been failed to be demonstrated.Conclusion The screening method of four chamber view、left and light ventricular outflow tract section and three vessels section can demonstrate most of serious congenital heart defect,which is simple,and easy to master,so it is worthwhile to promote this method in basic level hospital.