摘要
目的:探讨胎儿先天性心脏病(简称先心病)的超声诊断价值。方法:采用彩色多普勒超声对41875例孕20周以上的胎儿常规进行心脏普查,并与尸解及生后心脏手术结果及随访结果对照。结果:发现20例胎儿有先天性心脏缺陷,其中完全性心内膜垫缺损2例,原发孔性房间隔缺损3例,单心房、单心室、右室双出口、三尖瓣下移畸形各2例,室间隔缺损5例,法乐四联症2例。产前超声确诊16例,漏诊4例。结论:21孕周以上常规采用顺序显示法(四腔切面-五腔切面-左室长轴切面-大动脉短轴切面)进行胎儿心脏超声检测对先心病的诊断具有重要价值。
Objective：To study file value of uhrusonography on diagnosis of fetal congenital heart diseases （FCHD）. Methods： The hearts of fetus were examined by color Dopplor uhasonnd for 20 weeks upwards of gestation in 41875 cases; its outcome confirmd by follow up or autopsy or operation after birth.Results：There are 20 eases of FCHD,in which 2 eases is of cndocardial cushion defect,3 of atrial septal defect, 2 of single atrium, 2 of single ventricle, 2 of double outlet of right ventricle,2 of Ebstein＇ s malformation, 5 of imerventricular septal defect,2 of Failot＇ s tetrad. 16 cases were diagnosed by ultrasonography and 4 cases were missed diagnosis in prenatal. The veracious rate is 80.00% （16/20） ,the rate of missed diagnosis is 20.00% （4/20）. Conclusion：It is highly value to diagnosis of FCHD that heart of fetus were examined by ultrasonography of sequence display gestation age upword 21 weeks.
出处
《医学影像学杂志》
2005年第11期945-947,共3页
Journal of Medical Imaging
