胎儿心脏分段扫查法在基层医院的应用与体会

Application and experiences of sequential segmental ultrasonography for fetal heart disease in the medium of trimester pregnancy in primary hospita

目的探讨胎儿心脏分段扫查法对基层医院在孕中期胎儿心脏筛查中的应用与体会。方法应用心脏分段扫查法，对孕中期（22～28w）来我院检查的687例孕中期胎儿进行心脏检查时的体会总结。结果胎儿687例中，检出心脏畸形5例，漏诊1例，检出率是83．3％（5／6）。结论胎儿心脏分段扫查法在胎儿先心病的筛查中有较高的检出率，且检查时问明显缩短，适合于在基层医院进行先心病的筛查。

Objective To investigate application and experiences of sequential segmental uhrasonography for fetal heart disease in the medium trimester pregnancy in primary hospital. Methods 687 cases of fetuses aged from 22 to 28 weeks were examined by sequential segmental ultrasonography to screen fetal cardiac malformationgs. Results In 687cases, 5 cases of fetal congenital heart disease were detected and 1 case was missed .The detection rate was 83.3% （5/6）. Conclusions Sequential segmental ultrasonography can improve the detection of fetal congenital heart disease. It could shorten the examination time and be applied in the primary hospital for screening fetal congenital heart disease.