摘要
目的 探讨胎儿先天性心脏病 (CHD)的高危因素及彩色超声诊断胎儿先天性心脏病的适应证。方法 彩色超声仪检查 2 780例孕妇 ,回顾分析胎儿CHD发病的高危因素 ;比较高危、低危孕妇组胎儿先天性心脏病的发病率。结果 孕妇孕期上呼吸道感染、高龄、先兆流产、早孕期接触X线等是胎儿CHD发病的高危因素。高危组胎儿先天性心脏病发病率为 6 81% ,低危组发病率为 1 5 4 % ,两组胎儿CHD发病率间差别有显著性意义 (P <0 0 1)。结论 胎儿先天性心脏病存在高危因素 ,对高危孕妇常规及适时地进行胎儿心脏超声产前诊断 ,及早发现复杂性胎儿先天性心脏病 ,可减少出生缺陷。
Objective To explore high-risk factors of fetal congenital heart disease (CHD) and the indication of diagnosing CHD by color ultrasound.Methods A retrospective study was carried out to examine 2780 pregnant women with color Doppler echocardiography for analyzing the high-risk factors of their fetuses. Among them, 162 fetuses were diagnosed with CHD. We analyzed high-risk factors to CHD in pregnant women and fetuses and compared CHD incidence in high-risk group and low-risk group respectively.Results The upper respiratory tract inflection, older age, threatened abortion, touching X-ray in the early pregnancy were high- risk factors of CHD. CHD incidence was 6.81% in high-risk group, 1.54% in low-risk group. There was statistically significant difference in CHD of the two groups(P<0.01).Conclusion There existed high-risk factors in CHD of the fetus. The fetal heart of the high-risk pregnant women should be diagnosed with color echocardiography normally and timely to find the complicated fetal CHD earlier, which can reduce birth defects of the fetuses.
出处
《中国全科医学》
CAS
CSCD
2004年第18期1310-1311,共2页
Chinese General Practice