| 年静,王徐旭,韩玮玮,张学珍,陈传好.产前超声对胎儿心血管畸形的诊断及应用价值[J].实用中西医结合临床,2021,21(12):108-110 |
| 产前超声对胎儿心血管畸形的诊断及应用价值 |
| Diagnosis and Application Value of Prenatal Ultrasound in Fetal Cardiovascular Malformation |
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| DOI： |
| 中文关键词: 心血管畸形 产前 超声 多普勒 彩色 |
| 英文关键词: Cardiovascular malformation Prenatal Ultrasound Doppler Color |
| 基金项目:蚌埠医学院自然科学重点项目（编号：BYKY2019135ZD） |
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| 中文摘要: |
| 目的：分析产前超声对胎儿心血管畸形的诊断意义，为妊娠结局的合理选择提供有价值的参考。方法：选取2018年6月~2020年12月于蚌埠医学院第二附属医院行产前超声筛查的1 200例孕妇，将筛查出的胎儿心血管畸形的超声表现与产后随访结果或引产结果对照，分析产前超声的诊断准确性及胎儿心血管畸形的致畸因素。结果：1 200例孕妇，产前超声诊断心血管畸形胎儿82例，阳性率为6.8%（82/1 200），经产后超声复查或引产后证实67例，产前超声诊断胎儿心血管畸形的准确率为81.7%（67/82）。室间隔缺损为胎儿心血管畸形的最常见类型。结论：产前超声诊断胎儿心血管畸形的准确性较高，对具有高危致畸因素的胎儿进行针对性筛查，可为胎儿预后转归提供可靠的判断依据。 |
| 英文摘要: |
| Objective: To analyze the diagnostic significance of prenatal ultrasound in fetal cardiovascular malformation and to provide the valuable reference for rational selection of pregnancy outcome. Methods: Selected the prenatal ultrasound screening of 1 200 pregnant women in the second affiliated hospital of Bengbu medical college from June 2018 to December 2020 , ultrasound findings of screened fetal cardiovascular malformations were compared with postpartum follow-up results or labor induction results. To analyze the diagnostic accuraly of prenatal ultrasound and the teratogenic factors of fetal cardiovascular malformation. Results: 82 cases of fetal cardiovascular malformation were diagnosed prenatal in 1 200 pregnant women, the positive rate is 6.8%（82/1 200）. 67 cases were confirmed after induction of labor or by postpartum ultrasound reexamination, and 8 cases were lost to follow-up. The diagnostic accuracy of prenatal ultrasound in fetal cardiovascular malformations was 81.7%(67/82). Ventricular septal defect is the most common type of fetal cardiovascular malformation. Conclusions:The accuracy of prenatal ultrasound diagnosis of fetal cardiovascular malformations is high. To carry out targeted screening of fetuses with high risk teratogenic factors.It can provide a reliable basis for fetal prognosis. |
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