摘要
目的:探讨胎儿超声心动图在诊断胎儿先天性心脏畸形中的作用及其临床意义。方法:回顾性分析了27例胎儿先天性心脏畸形的产前超声诊断,对心脏的主要结构和连接关系进行全面评价。结果:27例产前诊断的先天性心脏畸形的胎儿中23例经引产后尸体解剖或随访确诊,其中单心房、单心室3例,法乐四联症5例,大动脉转位2例,完全性心内膜垫缺损3例,三尖瓣下移畸形2例,完全性肺静脉异位引流1例,左心室发育不良1例,心肌肥厚2例,单纯室间隔缺损4例,卵圆孔过大2例,主动脉狭窄1例,肺动脉狭窄1例。合并心外畸形10例,其中脊柱裂3例,双侧脑室扩张、脑积水3例,颈淋巴管囊肿1例,无脑儿1例,胸、腹壁缺损2例。结论:胎儿超声心动图是检查胎儿心脏畸形的有价值的无创性诊断技术,可以早期发现严重先心病,通过对胎儿时期心脏及心外畸形的全面了解,对临床正确处理提供依据。
Objective：To investigate the effect and the clinical value of congenital heart disease. Methods： Retrospective analyses of prenatal ultrasonographic diagnosis in 27 cases,the total assess were made for the majorstructure and connection relationship. Re- suits ： There were twenty - there cases of fetalcongenital heart disease with fetal autopsy and the follow - up fmdings. 3 cases weres- ingle atrium or single ventricles, 5 cases were fallot tetralogy, 2 cases weretransposition of great artery, 3 cases were complete endocardial cushion defect,2cases were fetal ebstein anomaly,2 cases were fossa oval enlargement. Ten caseswere confirmed complicated with mutiple system malformation. Conclusions：Itshould be early detection and correct processing for severe fetal congenital heartdisease. Echocardiography has very important clinical value and untramatic indiagnosis for fetal congenital heart disease.
