产前超声对筛查中孕期胎儿严重先天性心脏病的诊断分析.pdfVIP

22 • 论 著 • February 2014, Vol.12, No.6 Guide of China Medicine 产前超声对筛查中孕期胎儿严重先天性心脏病的诊断分析 余玉华 刘华俭 许明明 （南方医科大学附属东莞市石龙人民医院胎儿医学中心，广东东莞 523326 ） 【摘要】目的 探讨产前超声对筛查中孕期胎儿严重先天性心脏病的诊断情况。方法 分析我院超声科筛查的孕妇 6000 例临床资料，通过尸 检或者生后检查对超声诊断结果进行比较。结果 超声检查和尸检或者生后检查证实诊断结果无明显差异，P0.05 ，共计检出51 例严重先 天性心脏病，其中产前超声有 1 例法洛四联症未检出，准确率为 98.0% 。结论 产前超声对筛查中孕期胎儿严重先天性心脏病准确率较高， 同时其无创、操作简便，利于在临床开展。 【关键词】 产前超声；筛查；中孕期；胎儿；先天性心脏病 中图分类号：R714.5 文献标识码：B 文章编号：1671-8194（2014）06-0022-02 Ultrasound YU Yu-hua, LIU Hua-jian, XU Ming-ming (Fetal Medicine Center, Shilong People’s Hospital, Southern Medical University, Dongguan 523326, China) [Abstract] Objective To approach diagnostic of severe fetal congenital heart disease in screening in the second trimester of pregnancy by prenatal ultrasound. Method To analyze 6000 cases clinical data of severe fetal congenital heart disease in screening in the second trimester of pregnancy by prenatal ultrasound, which was to be compared of examination of the results of ultrasonic diagnosis at autopsy or after birth. Result The Ultrasound and autopsy or postnatal examination confirmed the diagnosis results were no difference, P 0.05, which was deteced 51 cases severe congenital heart disease, prenatal ultrasound in 1 cases of Fallot not found, accuracy rate was 98.0%. Conclusion The accuracy rate of severe fetal congenital heart disease in screening in the , , second trimester of pregnancy by prenatal ultrasound was higher then Non invasive, simple operation which was to be clinical used. [Key words] Prenatal ultrasound; Screening; Pregnancy; Fetus; Congenital heart disease 先天性心脏病属于常见的先天性畸形，其发生率占活产婴儿的4‰