超声心动图在胎儿先心病诊断中的应用价值探讨

The Application of Ultrasonic Cardiogram in Diagnosing Fetal Congenital Heart Disease

目的:探讨超声心动图在胎儿先心病诊断中的应用价值。方法:选取有高危因素的孕妇430例作为观察组,无明显高危妊娠因素的孕妇560例,作为对照组。所有孕妇均采用日立HITACHI型彩色多普勒超声诊断仪进行胎儿超声心动图检查,并对比产前与分娩后或胎儿尸检结果。结果:检查发现共42例存在先心病,检出率为4.2%。其中观察组检出39例(9.1%),对照组检出3例(0.5%),观察组先心病检出率明显高于对照组(P<0.05),差异具有统计学意义。结论:超声心动图能及时有效发现胎儿心脏异常的情况,诊断过程简单、时间较短,并且可以重复检查,对检测胎儿心脏畸形有着十分重要的临床应用价值。

Objective：To explore the diagnosis value of ultrasonic cardiogram for fetal congenital heart disease .Methods： 430 cases of pregnant women with high risk factors were selected as the observation group, 560 cases without obvious high-risk pregnancy factors of pregnant women were selected as control group.All pregnant women with Hitachi HITACHI color doppler ultrasound diagnostic apparatus for fetal ul-trasound heartbeat graph examination, the prenatal and delivery or fetal autopsy results were compared.Re-sults：The examination revealed a total of 42 cases with congenital heart disease, the detection rate was 4. 2%.The observation group was 39 cases （9.1%）, the control group was 3 cases （0.5%）, congenital heart disease detection rate of observation group was higher than that of control group （ P〈0 .05 ） , the differ-ence had statistical significance .Conclusion：Ultrasound cardiogram can effectively find abnormal fetal heart condition, the diagnosis process is simple, fast, and it can be examed repeatly, the detection of fetal cardiac malformation has very important value in clinical .