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孕早期胎儿先天性心脏病诊断中实施经腹部超声心动图的应用价值 被引量:3

Application Value of Transabdominal Echocardiography in Diagnosis of Congenital Heart Disease in the Early Pregnancy
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摘要 目的探讨孕早期胎儿先天性心脏病诊断中实施经腹部超声心动图在的应用价值。方法收集2016年11月—2017年12月共390例高危妇孕患者,选择彩色多普勒超声仪、胎儿超声心动图对所有孕妇进行诊断检测。结果四腔心切面的显示率为91.03%,左心室流出道切面显示率为81.79%,右心室流出道切面显示率为78.97%,三血管气道切面显示率为82.56%、主动脉弓切面显示率为81.03%。孕早期胎儿先天性心脏病确诊为16例,其中11例为复杂型,5例为单纯性单纯型与复杂型胎儿先天性心脏病的发生率相比较,差异有统计学意义(P<0.05)。结论对孕早期胎儿先天性心脏病实施经腹部超声心动图诊断,可将胎儿的心脏结构、血管血流动力学变化显示出来,超声心动图诊断胎儿心脏是否有异常情况,从而开展相对应治疗,临床价值高。 Objective To study the application value of transabdominal echocardiography in diagnosis of congenital heart disease in the early pregnancy. Methods 390 cases of high-risk delivery women admitted and treated in our hospital from November 2016 to December 2017 were selected, and the delivery women were for diagnosis and test by the color Doppler ultrasound and fetus ultrasound cardiogram. Results The display rates of four-chamber view, left ventricular outflow tract view, right ventricular outflow tract view, three vascular airway view and arcus aortae view were respectively 91.03%, 81.79%, 78.97%, 82.56%, 81.03%, and 16 cases were confirmed with congenital heart disease in the early pregnancy, including 11 complex cases, and 5 simple cases, and the difference in the incidence rate of congenital heart disease between the simple fetus and complex fetus was big, and the difference was statistically significant(P〈0.05). Conclusion The transabdominal echocardiography in diagnosis of congenital heart disease in the early pregnancy can show the cardiac structure and changes of vascular hemodynamics of fetuses, and whether the abnormalities of echocardiogram in diagnosis of fetal heart exist, thus conducting the corresponding therapy, and the clinical value is high.
作者 韩松岩 HAN Song-yan(Dongchangfu Maternal and Infant Healthcare Hospital,Liaocheng,Shandong Province,252000 China)
出处 《系统医学》 2018年第13期120-122,共3页 Systems Medicine
关键词 经腹部超声心动图 孕早期胎儿先天性心脏病 应用价值 Transabdominal eehoeardiography Congenital heart disease in the early pregnancy Application value
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