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目的探讨超声心动图在胎儿心律失常及心脏结构异常诊断中的应用价值。方法选取2011年8月—2015年8月在濮阳市油田总医院院妇产科住院的866例产妇,产前和产后均给予超声心动图检查,确定产前超声心动图检测结果的准确性。结果 866例产妇产前检查结果显示随访失联89例(10.3%),剩下777例中48例胎儿心律失常,35例胎儿心脏结构异常,产后尸检和手术结果表明实际47例胎儿心律失常,34例胎儿心脏结构异常,超声心动图诊断心律失常诊断准确率为97.9%,心脏结构异常诊断准确率为97.1%,与产后超声诊断结果均无差异统计学意义(P>0.05)。结论产前采用超声心动图诊断胎儿心律失常和心脏结构异常准确性高,对于诊断出有严重先天性心脏病的胎儿,临床医师可根据实际情况选择合适的分娩方式或终止妊娠。
Objective To investigate the value of echocardiography in the diagnosis of fetal arrhythmia and cardiac structural abnormalities. Methods From August 2011 to August 2015, 866 pregnant women hospitalized in the obstetrics and gynecology department of Puyang Oilfield General Hospital were given echocardiography before delivery and after delivery to confirm the accuracy of prenatal echocardiography. Results The results of 866 maternal prenatal tests showed that 89 cases (10.3%) were followed up, the remaining 777 cases were 48 cases of fetal arrhythmia, 35 cases of fetal cardiac structure abnormalities, postpartum autopsy and surgical results showed that the actual 47 cases of fetal arrhythmia, 34 cases of fetal heart structure abnormalities, echocardiography diagnostic accuracy of arrhythmia was 97.9%, cardiac structural abnormality diagnostic accuracy was 97.1%, and postpartum ultrasound diagnostic results were no statistically significant difference (P> 0.05). Conclusions Prenatal diagnosis of fetal arrhythmia and abnormal heart structure with high accuracy of echocardiography, for the diagnosis of severe congenital heart disease in fetuses, clinicians can choose the appropriate mode of delivery according to the actual situation or termination of pregnancy.