腹部B超在胎儿先天性心脏病筛查中的应用价值
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摘要
目的研究腹部B超在胎儿先天性心脏病筛查中的应用价值。方法选取我院产科2017年2月～2018年4月收治的500例妊娠中晚期孕产妇作为研究对象,采用腹部B超对孕产妇进行先天性心脏病产前筛查。通过观察孕产妇宫内胎儿的胎心形态、房室结构等情况,分析腹部B超在胎儿先天性心脏病产前筛查中的应用价值。结果 500例孕妇经腹部B超检查结果显示,40例存在胎儿先天性心脏病,经彩超及尸检结果证实,38例存在胎儿先心病,准确率为95.00%,2例误诊,误诊率为4.76%。其余460例均为健康新生儿,无先天疾病,其中36例胎儿出生后存在黄疸症状,经蓝光照射治疗后恢复健康。结论在孕产妇妊娠中晚期采用腹部B超对先天性心脏病胎儿进行筛查,具有较高的检出率,有利于减少出生缺陷,提高出生人口质量。
Objective To study the application value of abdominal ultrasound in the screening of fetal congenital heart disease. Methods A total of 500 cases of maternal in the middle and late pregnancy who were admitted to our hospital from February 2017 to April 2018 were selected as subjects. Pregnancy screening for congenital heart disease was performed in maternal. By observing the fetal heart shape and the structure of the fetus in the maternal uterus, the application value of abdominal B-ultrasound in prenatal screening of fetal congenital heart disease was analyzed. Results The results of B-ultrasound examination of 500 maternal showed that 40 cases had fetal congenital heart disease. The results of color Doppler ultrasound and autopsy showed that 38 cases had fetal congenital heart disease, the accuracy rate was 95.00%, 2 cases were misdiagnosed, and the misdiagnosis rate was 4.76%. The remaining 460 cases were healthy newborns, and there were no congenital diseases. Among them, 36 cases of fetuses had symptoms of jaundice after birth and recovered after treatment with blue light. Conclusion Abdominal ultrasonography has a high detection rate in screening fetuses with congenital heart disease in the second and third trimester of pregnancy, which is conducive to reducing birth defects and improving the quality of the birth population.
Objective To study the application value of abdominal ultrasound in the screening of fetal congenital heart disease. Methods A total of 500 cases of maternal in the middle and late pregnancy who were admitted to our hospital from February 2017 to April 2018 were selected as subjects. Pregnancy screening for congenital heart disease was performed in maternal. By observing the fetal heart shape and the structure of the fetus in the maternal uterus, the application value of abdominal B-ultrasound in prenatal screening of fetal congenital heart disease was analyzed. Results The results of B-ultrasound examination of 500 maternal showed that 40 cases had fetal congenital heart disease. The results of color Doppler ultrasound and autopsy showed that 38 cases had fetal congenital heart disease, the accuracy rate was 95.00%, 2 cases were misdiagnosed, and the misdiagnosis rate was 4.76%. The remaining 460 cases were healthy newborns, and there were no congenital diseases. Among them, 36 cases of fetuses had symptoms of jaundice after birth and recovered after treatment with blue light. Conclusion Abdominal ultrasonography has a high detection rate in screening fetuses with congenital heart disease in the second and third trimester of pregnancy, which is conducive to reducing birth defects and improving the quality of the birth population.
引文
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[13]李丽萍.对比阴道彩超检查以及腹部彩超检查在早期异位妊娠中的诊断价值[J].中国现代药物应用,2017,11(7):56-58.
[14]陈江红,王娜,黄乃磊.彩超检测胎儿大脑中动脉、脐动脉及联合胎心监护在预测胎儿宫内缺氧中的价值[J].军事医学,2016,40(11):931-933.
[15]Brossard-Racine M,Du Plessis A,Vezina G,et al.Brain injury in neonates with complex congenital heart disease:what is the predictive value of MRI in the fetal period[J].AJNR Am J Neuroradiol,2016,37(7):1338-1346.
[2]孙东明,夏琨,刘玲,等.先天性心脏病并慢性心力衰竭患儿红细胞分布宽度与心功能的关系[J].中华实用儿科临床杂志,2016,31(1):59-61.
[3]周佳梅,解左平,袁华,等.超声“四切面”法筛查胎儿心脏大动脉根部平行走向先心病的临床价值[J].实用医学杂志,2016,32(5):861-862.
[4]吴淑燕,江燕萍,韩凤珍.胎儿复杂性先天性心脏病产前与出生后诊断处理的价值及预后比较[J].实用妇产科杂志, 2016,32(1):45-48.
[5]黎冬梅,朱宝生,苏洁,等.胎儿超声及染色体产前诊断对唐氏综合征产前筛查为临界风险的临床价值[J].第三军医大学学报,2016,38(17):1972-1975.
[6]Zhao L,Wu Y,Chen S,et al.Feasibility study on prenatal cardiac screening using four-dimensional ultrasound with spatiotemporal image correlation:a multicenter study[J].Plos One,2016,11(6):e0157477.
[7]吴莉,钟进,索冬梅,等.染色体微阵列技术在产前诊断先天性心脏病中的应用价值[J].广东医学,2017,38(23):3595-3598.
[8]吴子谕,梁燕霞,谢丽群,等.从11425例先天性畸形病例谈出生缺陷的干预措施[J].实用医学杂志,2017,33(10):1694-1696.
[9]黄丹萍,戴常平,王红英.超声心动图诊断以三尖瓣反流为首发征象的胎儿心血管异常[J].中国医学影像技术,2016,32(6):923-926.
[10]谢广平,贾立娟,杜学谦.四维彩超检查在胎儿先心病诊断中的临床应用[J].世界最新医学信息文摘,2016,16(66):25-26.
[11]Novaes JY,Zamith MM,Araujo JE,et al.Screening of congenital heart diseases by three-dimensional ultrasound using spatiotemporal image correlation:influence of professional experience[J].Echocardiography,2016,33(1):99-104.
[12]Sisóalmirall A,Kostov B,Navarro GM,et al.Abdominal aortic aneurysm screening program using hand-held ultrasound in primary healthcare[J].Plos One,2017,12(4):e0176877.
[13]李丽萍.对比阴道彩超检查以及腹部彩超检查在早期异位妊娠中的诊断价值[J].中国现代药物应用,2017,11(7):56-58.
[14]陈江红,王娜,黄乃磊.彩超检测胎儿大脑中动脉、脐动脉及联合胎心监护在预测胎儿宫内缺氧中的价值[J].军事医学,2016,40(11):931-933.
[15]Brossard-Racine M,Du Plessis A,Vezina G,et al.Brain injury in neonates with complex congenital heart disease:what is the predictive value of MRI in the fetal period[J].AJNR Am J Neuroradiol,2016,37(7):1338-1346.