摘要
目的观察胎儿心脏发育畸形超声和心脏轴测定指标。方法选取2014年4月至2015年4月来汉中市三二〇一医院孕检的孕周为22~28周的70例胎儿资料进行分析,70例胎儿分别行心脏超声联合心脏轴测定和单心脏超声四腔观测定,产后听诊及心脏超声检查分为心脏发育畸形组与正常组,对比两组患儿的心轴角度以及心轴角度异常类型。结果正常组胎儿的心轴角度显著低于心脏发育畸形组[（42.51±5.34）°比（56.25±16.85）°],差异有统计学意义（P〈0.05）。正常组仅有1例胎儿出现心轴左偏,心轴左偏率为2.0%,无1例胎儿出现心轴右偏;心脏发育畸形组有8例胎儿出现心轴左偏,心轴左偏率为38.1%;心轴右偏6例,心轴右偏率为28.6%,差异有统计学意义（P〈0.01）。结论产前超声检查对于尽早发现胎儿是否存在心脏发育畸形具有一定的应用价值。
Objective To observe the cardiac ultrasound and axis measurement indicators for fetal heart developmental deformity. Methods From Apr. 2014 to Apr. 2015,70 cases of 22 to 28 weeks gestational age for pregnancy test in 3201 Hospital were analyzed,who received fetal echocardiography joint single-axis measurement and cardiac echocardiography of four chambers,according to postpartum auscultation and echocardiography they were divided into a heart developmental deformity group and a normal group,and the angle of the spindle and the abnormal spindle angle type of the two groups were compared. Results Fetus spindle angle of the normal group was lower than the heart developmental deformity group [（ 42. 51 ± 5. 34） ° vs（ 56. 25 ± 16. 85） °],the difference was statistically significant（ P 0. 05）. There was only one case of left axis deviation in the normal group,the rate was was 2. 0%,there was no fetal heart right axis deviation; there were 8 cases of fetal left axis deviation in the heart developmental deformity group,the rate was 38. 1%; there were 6 cases of right axis deviation,the rate was 28. 6%. The difference between the two groups was statistically significant（ P 0. 01）. Conclusion Prenatal cardiac ultrasonography is of certain clinical value for discovering heart developmental deformity as early as possible.
出处
《医学综述》
2016年第22期4516-4518,共3页
Medical Recapitulate
关键词
心脏超声
心脏轴测定
孕中期胎儿
胎儿心脏发育畸形
Echocardiography
Heart axis determination
Second trimester fetus
Fetus heart developmental deformity
