产前超声筛查胎儿先天性心脏病价值和意义的探讨

The value and meaning of congenital heart disease in prenatal ultrasound diagnosis

目的探讨产前超声筛查胎儿心脏畸形价值和意义。方法回顾性分析2014年1月-2015年1月对11 832例(18w-40w)中晚期孕妇的彩色多普勒超声检查资料,比较超声检查结果与引产后尸检、跟踪随访产后结果。结果 11832例孕妇中,经引产后尸检和出生后确诊证实产前超声筛查符合77例,检出率6.4%,同时合并其它畸形18例,漏诊2例,误诊3例。结论产前超声对妊娠中晚期胎儿先天性心脏畸形诊断率较高,对先心病的诊断具有重要价值,是实现我国优生优育的首选方法。

Objective： To assess the value and meaning of fetal cardiac anatomy in prenatal diagnosis. Methods： The echocardiographic records of 11832 cases （18weeks-40weeks） from January 2014 to January 2015 by color doppler ultrasound for pregnant women＇ s in meta late-phase were reivewed retrospectively.Ultrasonographic features with autopsy of induced abortion and the result of newborns were compared. Among the 11832 cases, prenatal ultrasound screening for 77 cases was confirmed by autopsy and postnatal diagnosis after induction of labor, the detection rate was 6.4%, 18 cases were complicated with other abnormalities, 2 cases were missed diagnosis, 3 cases were misdiagnosed. Results. The high diagnostic rate in implementation of prenatal ultrasound for pregnant women during mid and late-pregnancy has an important role to contribute to diagnosis of congenital heart disease and it＇ s sure to be a oreffered method to carry on prenatal and postnatal care.