28例胎儿心脏畸形彩色多普勒超声检查回顾性分析

Retrospective analysis of 28 cases of fetal cardiac malformations by color Doppler ultrasonography 28 example embryo heart abnormal colored Doppler supersonic inspection review analysis

目的探讨彩色多普勒超声在胎儿心脏畸形筛查中的作用和检查方法。方法回顾性分析笔者所在医院2012年10月-2015年12月间发现的28例心脏畸形胎儿的临床资料,观察各种心脏畸形在不同切面的超声表现。结果单心房、单心室5例,左心室发育不良2例,室间隔缺损3例,右室双出口5例,法洛四联症5例,完全性大动脉转位2例,单纯肺动脉狭窄3例,三尖瓣下移畸形1例,右位主动脉弓2例。结论四腔心,左右流出道,三血管切面对胎儿心脏畸形的宫内诊断有较高的敏感性和特异性,是诊断胎儿先天性心脏病的首选和常用的方法。

Objective：Explore the color Doppler ultrasound in the role of fetal cardiac malformation screening and checking method. Methods：The author′s hospital were retrospectively analyzed in October 2012-December 2015 found that the clinical data of 28 cases of cardiac malformation fetus,to observe various cardiac malformation of sonographic findings in different aspects. Results：Single atrium,single ventricle in 5 cases,left ventricular dysplasia in 2 cases,3 cases of interventricular septal defect,2 of double outlet of right ventricular in 5 cases,5 cases of tetralogy of fallot,completeness arteries transposition in 2 cases,pure pulmonary artery stenosis in 3 patients,tricuspid valve malformation in 1 case,right aortic arch in 2 cases. Conclusion：About four cavity,outflow,the three vessels cut in the face of cardiac abnormalities intrauterine diagnosis with higher sensitivity and specificity,is the first choice for diagnosis of fetal congenital heart disease and the commonly used method.