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目的研究胎儿先天性心脏病的超声诊断和漏诊情况。方法选择2013年8月~2014年8月期间我院收治的1000例孕妇为研究对象,运用彩色多普勒超声对胎儿的心脏结构和心脏五横切面进行检查,检查结果与超声心动图和尸检结果进行比较。结果所有胎儿均顺利完成彩色多普勒超声检查,1000例胎儿中,14例确诊为先天性心脏病,检出率为1.4%,其中8例合并心外畸形,2例正常分娩,12例选择引产终止妊娠。尸检结果显示,除2例出现肺动脉狭窄合并右室发育不良未被检出外,其余与超声检查结果基本一致。同时,经超声心动图检查,4例为先天性心脏病,检出率为0.4%。结论临床上运用超声诊断对胎儿先天性心脏病进行诊断,不仅具有操作简单、安全性高等特点,还可以对胎儿的心脏病类型和位置进行准确判断,为临床上提供有效依据。
Objective To study the ultrasound diagnosis and missed diagnosis of fetal congenital heart disease. Methods A total of 1000 pregnant women admitted to our hospital from August 2013 to August 2014 were enrolled in this study. Color Doppler echocardiography was used to examine the fetal heart structure and the five transverse sections of the heart. The results were compared with echocardiography and autopsy The results are compared. Results All of the fetuses successfully completed color Doppler ultrasound examination. Of the 1000 fetuses, 14 cases were diagnosed as congenital heart disease with a detection rate of 1.4%. Eight of them had extracardiac deformity, two had normal delivery, and 12 selected Induction of termination of pregnancy. Autopsy results showed that in addition to 2 cases of pulmonary stenosis with right ventricular dysplasia was not detected, the rest and ultrasound findings are basically the same. Meanwhile, echocardiography, 4 cases of congenital heart disease, the detection rate was 0.4%. Conclusion The diagnosis of fetal congenital heart disease by using ultrasound diagnosis is not only simple and safe, but also can accurately determine the type and location of fetal heart disease, and provide an effective basis for clinical diagnosis.