超声心动图在产前诊断胎儿先天性心脏病中的临床探讨

The Clinical Value of Fetal Echocardiography in Prenatal Diagnosis of Congenital Heart Disease

目的:探讨超声心动图在产前诊断胎儿先天性心脏病中的临床意义。方法:对50例先天性心脏病胎儿行产前胎儿超声心动图检查,着重观察胎儿胸、腹部切面,左右心室流出道长轴或大动脉短轴切面、四腔心切面、胎儿主动脉弓长轴切面。结果:50例先天性心脏病胎儿,其中复杂先天性心脏病部分合并心外畸形30例,单纯室间隔缺损12例,房间隔缺损8例。产后超声心动图随访或引产尸检结果与产前诊断相符。结论:超声心动图是一种安全、准确的检查手段,对产前诊断胎儿先天性心脏病具有重要的临床意义。

Objective： To evaluate the clinical significance of fetal echocardiography in diagnosis of congenital heart disease. Method： Fifty fetus with congenital heart disease underwent fetal echocardiography examinations. During the examination, different views were observed, including fetal upper abdomen, fetal fourchamber, fetal left and right ventricular outflow tracts, and fetal short axis view of great artery as well as aortic arch. Result： Among eases of fetal congenital heart disease, delete 30 cases were complex malformation delete combined extracardiac malformation ：12 cases were ventricular septal defect ;8 cases were atrial septal defect. And the results of echocardiography follow-up after the induction of labor or antopsy findings were with the prenatal diagnosis. Conclusion： Fetal echocardiography is an accurate and safe imaging method in early diagnosis of fetal congenital heart disease.