| 杨丽玲姜志荣△ 郑娟.超声心动图检测胎儿心包积液的临床价值[J].,2011,11(3):508-511 |
| 超声心动图检测胎儿心包积液的临床价值 |
| Diagnostic Value of Fetal Echocardiography for Fetal Pericardial Effusionin |
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| DOI： |
| 中文关键词: 超声心动图 心包积液 胎心 |
| 英文关键词: Echocardiography Fetal heart pericardial effusion |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨超声心动图检测胎儿心包积液的临床意义。方法：2007-2010 年在我院检查行超声心动图检查的高危孕妇473
例，同时设对照组，检测孕龄在20-40 周无明显高危妊娠因素的孕妇472 例，并将产前超声检查结果和胎儿尸检或分娩后超声心
动图检查结果进行对照。结果：1.高危组检出72例心包积液，检出率12.5%，对照组检出13 例心包积液，检出率3%，两组胎儿心
包积液检出率间差别有统计学意义（x2=39.57，P<0.05）。2.85例心包积液中，孤立性心包积液38 例，伴其他心脏畸形或者其他系统
畸形47例，其中孤立性心包积液预后良好。结论：超声心动图能够敏感地检出胎儿心包积液；心包积液程度并不是最重要的，其
伴随心脏畸形或者其他畸形决定预后。 |
| 英文摘要: |
| Objective: To investigate the diagnostic value of examining pericardial effusion on fetal by echocardiography. Methods:
473 fetuses with high risk factors, aged from 20~40 gestational weeks, were examined by echocardiography with Philips ultrasound diagnostic
apparatus. 472 fetuses without high risk factors, aged from 20~40 gestational weeks were enrolled as control group. Echocardiographic
results were compared with necropsy specimens of the fetal heart after termination of pregnancy and postnatal echocardiography.
Results: 72 fetus with pericardial effusion were detected in the high risk group and the detection rate was 12.5%. 13 fetus with pericardial
effusion were detected in the control group and the detection rate was 3%. There was significant difference the two groups（x2=39.57，
P<0.05）; 85 patients with PEs were identified from 1005 fetal echocardiograms, including 28 cases with PEs, 44 cases with other malformations;
Conclusions: Echocardiography is sensitive in detecting fetal pericardial effusion. Some fetuses with pericardial effusion should
have some further examinations. PE size itself is not important, other associated malformations determined prognosis . |
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