心脏彩色多普勒超声在新生儿先天性心脏病诊断中的应用价值

The Value of Cardiac Color Doppler Ultrasound in the Diagnosis of Congenital Heart Disease in Newborns

目的探究心脏彩色多普勒超声在新生儿先天性心脏病诊断中的应用价值。方法选取开封市妇产医院2020年5月至2022年3月期间就诊的70例疑似新生儿先天性心脏病患儿,分别给予患者心脏彩色多普勒超声、心电图检查,以手术病理诊断为金标准,比较心脏彩色多普勒超声、心电图的诊断灵敏度、准确度及特异度。结果70例疑似新生儿先天性心脏病患儿经手术后,有63例确诊,占90.00%。心脏彩色多普勒超声检测在灵敏度、准确度及特异度(93.65%、85.71%、92.86%)上与心电图检查(74.60%、14.29%、68.57%)相比均较高,差异有统计学意义(P<0.05)。结论心脏彩色多普勒超声灵敏度、准确度及特异度较高,为新生儿先天性心脏病提供可靠的诊断依据,值得应用。

Objective To explore the value of color Doppler ultrasound in the diagnosis of congenital heart disease in newborns.Methods Seventy children with suspected neonatal congenital heart disease who attended the Kaifeng Maternity Hospital between May 2020 and March 2022 were selected and given cardiac color Doppler ultrasound and electrocardiography,respectively,to compare the diagnostic sensitivity,accuracy and specificity of cardiac color Doppler ultrasound and electrocardiography using surgical pathology diagnosis as the gold standard.Results Among 70 suspected neonates with congenital heart disease,63 cases(90.00%)were diagnosed after operation.Cardiac color Doppler ultrasound detection was higher in sensitivity,accuracy and specificity(93.65%,85.71%,92.86%)compared with electrocardiography(74.60%,14.29%,68.57%),with statistically significant differences(P<0.05).Conclusion Cardiac color Doppler ultrasound has high sensitivity,accuracy and specificity,which provides a reliable basis for the diagnosis of neonatal congenital heart disease,and is worthy of application.