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目的探讨产前超声筛查胎儿心脏畸形价值和意义。方法回顾性分析2014年1月-2015年1月对11 832例(18w-40w)中晚期孕妇的彩色多普勒超声检查资料,比较超声检查结果与引产后尸检、跟踪随访产后结果。结果 11832例孕妇中,经引产后尸检和出生后确诊证实产前超声筛查符合77例,检出率6.4%,同时合并其它畸形18例,漏诊2例,误诊3例。结论产前超声对妊娠中晚期胎儿先天性心脏畸形诊断率较高,对先心病的诊断具有重要价值,是实现我国优生优育的首选方法。
Objective To investigate the value and significance of prenatal ultrasound in screening fetal heart deformity. Methods The color Doppler ultrasound examination data of 11 832 pregnant women (18w-40w) from January 2014 to January 2015 were retrospectively analyzed. The results of ultrasonography and autopsy after autopsy were compared and the postpartum follow-up results were tracked. Results Among the 11 832 pregnant women, confirmed by post-induction of labor and postnatal diagnosis, 77 prenatal ultrasound screening tests were performed, the detection rate was 6.4%. Other deformities were also found in 18 cases, missed diagnosis in 2 cases and misdiagnosed in 3 cases. Conclusions Prenatal ultrasound has a high diagnostic rate of congenital heart malformations in the second trimester of pregnancy, which is of great value in the diagnosis of congenital heart disease and is the preferred method to achieve prenatal and postnatal care in our country.