全方位心脏超声检查对心脏畸形胎儿检查效果评价

Evaluation of the effect of cardiac ultrasonography in the diagnosis of fetal cardiac malformation

目的评价全方位胎儿心脏超声检测效果,为更好地在临床上推广应用提供参考资料。方法抽取2013年3月-2016年12月在乌鲁木齐市第一人民医院行产前检查并最终确诊胎儿有心脏畸形的孕妇59例及疑似畸形32例孕妇作为研究对象。回顾性分析之前使用的超声检查方法使用统计学方法比较三种超声检查方法的效果。结果 (1)全方位超声检查方法检测胎儿轻中度畸形漏诊率及误诊率均低于其他两组,差异有统计学意义,P<0.05;(2)ROC曲线结果显示,全面检查灵敏度高于非全面检查,差异有统计学意义,P<0.05。(3)三种检测方法在重度畸形胎儿检测中的漏诊及误诊率无统计学差异(P>0.05)。结论综合此次研究结果,我们认为全方面的超声检查在轻中度胎儿心脏畸形检测中灵敏度较高,适合临床推广应用。

Objective To evaluate the effect of ultrasonic detection of fetal heart in order to provide reference for clinical application.Methods 59 cases pregnant women with fetal cardiac malformations and 32 cases suspected pregnant women in our hospital from March2013 to December 2016 were randomly selected. Retrospective evaluated the effect of the three methods by using statistical methods.Results（1） Missed diagnosis and misdiagnosis rate of the full range ultrasonic inspection method was lower than that of the other two groups for detecting fetal malformation, the difference was statistically significant, P〈0.05;（2） ROC curve showed that the comprehensive inspection and sensitivity is higher than that of the non--comprehensive inspection, the difference was statistically significant, P〈0.05.（3）There was no significant difference between the three methods in the detection of severe malformation fetus and the misdiagnosisrate（P〈0.05）.Conclusion The results of this study, we believe that all aspects ultrasound in the mild and moderate heart malformations are high sensitivity, which is suitable for clinical application.