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彩色多普勒超声诊断对胎儿先天性心脏病的筛查价值 被引量:6

Value of color Doppler ultrasound diagnosis in screening fetal congenital heart disease
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摘要 目的 研究彩色多普勒超声诊断在胎儿先天性心脏病(简称胎儿先心病)筛查中的价值.方法 选择2014年3月至2014年6月行产前检查的1258例(胎儿1273例)孕妇作为研究对象,均行彩色多普勒超声诊断筛查胎儿先天性心脏病.将筛查结果与尸检、随访结果对比,计算检出率.结果 在筛查的1273例胎儿确诊为先心病的胎儿12例,产前超声诊断检出11例,总体检出率为91.67%,漏诊率为8.33%.其中检出室间隔缺损3例,房间隔缺损2例,动脉导管未闭1例,法洛四联征2例及其他病症3例,漏诊1例室间隔缺损.结论 对孕妇行彩色多普勒超声诊断筛查胎儿先天性心脏病可获得准确性较高的结果,具有较高的应用价值,值得在筛查过程中应用. Objective To study the value of color Doppler ultrasound diagnosis in screening fetal congenital heart disease.Methods The 1 258 cases of pregnant women (1 273 cases of fetuses) underwent prenatal examination from March 2014 to June 2014 were selected as the study objects.All of them underwent color Doppler ultrasound for screening fetal congenital heart disease.The screening results were compared with autopsy and follow-up results,and the detection rate was calculated.Results In the screened 1 273 fetuses,12 cases were diagnosed as congenital heart disease and 11 cases were diagnosed by prenatal ultrasound diagnosis.The total detection rate was 91.67% and the rate of missed diagnosis was 8.33%.Three cases were detected with ventricular septal defect,two cases of atrial septal defect,one case of patent ductus arteriosus,two cases of tetralogy of Fallot and three cases of other symptoms.One case of ventricular septal defect was missed diagnosed.Conclusions To adopt color Doppler ultrasound diagnosis in screening fetal congenital heart disease in pregnant women can obtain higher accuracy,and it has higher application value.It is worth to be used in the process of screening.
作者 郜彩霞
出处 《中国实用医刊》 2016年第19期86-87,共2页 Chinese Journal of Practical Medicine
关键词 彩色多普勒超声 胎儿先天性心脏病 筛查 Color Doppler ultrasound Fetal congenital heart disease Screening
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