胎儿心脏超声检查的临床应用及评价

The clinical application and evaluation of the echocardiogram for fetal heart disease

目的评价胎儿心脏超声对先天性心脏病检查的临床应用及价值意义。方法选取于2010年6月—2013年6月来我院行产前检查的孕妇628例,以胎儿四腔心、左室流出道、右室流出道、三血管、主动脉弓、动脉导管弓切面为标准切面进行筛查,出生后一周进行新生儿彩色多普勒超声心动图检查,其结果与胎儿心脏超声筛查结果对照。结果胎儿心脏超声筛查确诊5例,单心室2例,法乐四联症1例,室间隔缺损2例。结论胎儿心脏超声可以提高先天性心脏病的检出率,对于降低胎儿出生缺陷起着不可替代的作用,也是胎儿产前筛查的重要检查方法。

Objective：To evaluate the clinical application of fetal echocardiogram for congenital heart disease examination and value significance. Methods：Choose in June 2010-June 2013 line to our hospital 628 cases of antenatal examination of pregnant women,With four cavity fetal heart,left ventricular outflow tract and right ventricular outflow tract,three vessels and the aorta and ductus bow section for the standard section of screening,A week after birth for neonatal color doppler echocardiography,The result comparison with fetal cardiac ultrasound screening results. Results：5 cases of fetal cardiac ultrasound screening diagnosis,Single ventricle（2 cases）,1 cases of fallot,Ventricular septal defect in 2 cases,The aortic arch narrowed in 1 case. Conclusion：Fetal cardiac ultrasound can improve the detection rate of congenital heart disease,To reduce the birth defect plays an irreplaceable role,It is also an important check fetal prenatal screening method.