常规超声检查结合胎心检查在胎儿先天性心脏病产前筛查中的应用价值

Application Value of Conventional Ultrasound Combined with Fetal Heart Examination in Prenatal Screening for Fetal Congenital Heart Disease

目的探讨胎儿先天性心脏病产前筛查应用常规超声检查结合胎心检查的临床价值。方法选取产前检查的孕妇1 800例随机分对照组900例,行常规超声检查;观察组900例,在对照组基础上结合胎心检查。比较两组筛查准确率。结果产前筛查显示胎儿先天性心脏病,观察组有5例,对照组有4例。产后证实先天性心脏病患儿观察组有6例,对照组有7例。筛查准确率观察组为83.33%,对照组为57.14%,差异显著,有统计学意义(P<0.05)。结论常规超声检查结合胎心检查,可有效提高胎儿先天性心脏病产前筛查准确率,值得推广。

Objective To investigate the clinical values of conventional ultrasound combined with fetal heart examination in prenatal screening for fetal congenital heart disease. Methods One thousand eight hundred cases of pregnant women who underwent the prenatal examination were selected as the research objects. They were randomly divided into the control group （900 cases） and the observation group （900 cases） . The control group re-ceived routine ultrasound examination, while the observation group received routine ultrasound examination com-bined with fetal heart examination. Then, the screening accuracy rate of two groups were observed. Results The prenatal screening of 1 800 pregnant women showed that there were 5 cases of fetal congenital heart disease in the observation group and 4 cases in the control group. The postpartum confirmed that there were 7 cases of fetal con-genital heart disease cases in the control group. Therefore, the screening accuracy rate in the observation group was 83. 33% and higher than that of control group （57. 14% ） , and the difference was statistically significant （ P 〈 0. 05 ） . Conclusion The conventional ultrasound combined with fetal heart examination can effectively improve the accuracy of prenatal screening of fetal congenital heart disease, which is worth promoting.