| 周芳 赵书平 王薇 苟永贤 李文娟.产前超声在中孕期胎儿严重先天性心脏病筛查中的应用[J].,2016,16(23):4533-4535 |
| 产前超声在中孕期胎儿严重先天性心脏病筛查中的应用 |
| Application of Prenatal Ultrasound in Screening of Severe Congenital HeartDisease in Middle Pregnancy |
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| DOI： |
| 中文关键词: 先天性心脏病 彩色多普勒超声 产前诊断 孕中期 |
| 英文关键词: Congenital heart disease(CHD) Color Doppler echocardiography Prenatal diagnosis Mid pregnancy |
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| 中文摘要: |
| 目的：探究产前超声检查在中孕期胎儿严重先天性心脏病（CHD）筛查中的应用。方法：选择2012 年1 月至2014 年1月在
我院妇产科进行产前常规超声检查的孕妇12076 例，年龄22-41 岁，平均（28.6± 8.3）岁，孕周20-36 周，平均（25.2± 6.7）周。将符
合纳入排除标准的孕妇8953 例作为研究对象，其中初产妇6023 例，经产妇2930例。对纳入研究的孕妇行彩色多普勒超声检查，
并对妊娠结局进行追踪，将确诊情况与筛查结果进行比较分析。结果：产前彩色多普勒超声诊断出胎儿CHD38 例，经尸检或新生
儿彩色多普勒超声检查均确诊为CHD，对胎儿期未筛查出CHD的孕妇进行新生儿彩色多普勒超声检查，确诊4 例，产前超声检
查胎儿CHD检出率为90.48%（38/42），检出准确率100%（38/38）。结论：彩色多普勒超声筛查孕中期胎儿CHD，灵敏度和特异性
高，安全无创伤，操作简便快速，值得推广为产前筛查的首选方法。 |
| 英文摘要: |
| Objective:To explore the value of prenatal color Doppler echocardiography in diagnosis of fetal congenital heart disease
(CHD).Methods:A total of 8953 pregnant women selected from 12076 pregnant women, who underwent prenatal routine ultrasound
examination in obstetrics and gynecology in Baoji Maternal and Child Health Hospital of Shanxi Province from January 2012 to
January 2014, were chosen as the subjects in this study, of which, there were 6023 cases of primipara and 2930 cases of multipara. Color
Doppler echocardiography examination was performed on the pregnant women, and the pregnancy outcome was followed-up. The diagnosis
and screening results were compared.Results:A total of 38 fetuses were diagnosed with CHD definitely by color Doppler echocardiography.
The detection rate and detection accuracy rate were 90.48%(38/42)and 100%(38/38), respectively.Conclusion:Prenatal color
Doppler echocardiography is the preferred method of prenatal screening in the diagnosis of fetal CHD in mid trimester of pregnancy, with
high sensitivity, specificity and safety, which is worthy of clinical popularization and application. |
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