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目的对大兴区妇幼保健院3 a来4 086例胎儿及新生儿进行先心病筛查。方法自2007-01-2009-12在大兴区妇幼保健院门诊作产前检查的孕妇,在常规B超检查时运用“3+1”切面超声技术对胎儿心脏进行筛查以及新生儿生后进行心脏超声检查,对引产的部分病例进行尸解以明确其筛查诊断的准确性。结果共筛查出21例复杂先心病,按检出率高低排序依次为TOF、AVSD、PTA、TGA,筛查诊断率为4.65‰,漏诊率9.52‰,复杂先心病发生率为5.14‰,诊断准确率为85.71%。结论产前心脏超声筛查技术的普及和提高,对减少复杂难治性先心病的出生,降低新生儿及婴幼儿病死率有积极意义。
Objective To investigate the prevalence of congenital heart disease among 4 086 fetuses and newborn infants during 3 years in Daxing District MCH. Methods From January 2007 to December 2009, pregnant women in prenatal care at MCH clinic in Daxing District were enrolled in this study. The fetal heart was screened by “3 + 1” After the echocardiography, in some cases of induced labor autopsy to clarify the accuracy of its screening diagnosis. Results A total of 21 cases of complicated congenital heart disease were screened out. The detection rates were TOF, AVSD, PTA and TGA. The diagnostic rate was 4.65 ‰, the rate of missed diagnosis was 9.52 ‰, and the incidence of complex congenital heart disease was 5.14 ‰ The accuracy rate is 85.71%. Conclusion The popularity and improvement of prenatal echocardiography is of great significance in reducing the birth of complicated and refractory CHD and reducing the mortality of neonates and infants.