联合切面扫查在胎儿先天性心脏病筛查中的现状分析
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摘要
目的:分析我院2015年1月—2017年12月中孕畸形筛查联合切面扫查在胎儿先天性心脏病中的现状。方法:选取我院2015年1月—2017年12月在我院建卡,中孕畸形筛查30680例,经超声联合4切面检出异常可疑胎儿先天性心脏病共79例,经围产儿会诊及新生儿心超确诊,胎儿先天性心脏病共61例,漏诊12例,误诊6例。结果:联合4切面在中孕畸形筛查胎儿先天性心脏病的检出率2.57%,确诊率为77.22%;漏诊15.19%(12/79);误诊7.6%(6/79)。结论:规范、系统的中孕畸形筛查联合4切面法是胎儿先天性心脏病的首选和必要的检查方法,对胎儿先天性心脏病有较高的检出阳性率,具有重要的临床价值。
Objective The present situation of fetal congenital heart disease(congenital heart disease) was analyzed in our hospital in January 2015,-2017, 12 months. Methods In our hospital from January 2015 December-2017 in our hospital in the cards, pregnant malformation in 30680 cases, 4 were detected by ultrasound combined with abnormal suspicious fetal congenital heart disease in 79 cases, the perinatal and neonatal heart consultation super diagnosis of fetal congenital heart disease in 61 cases, 12 cases were misdiagnosed, the misdiagnosis of 6 cases. Results The 4 section combined with the detection rate of 2.57% malformation in pregnancy for fetal congenital heart disease, the diagnosis rate was 77.22%; missed 15.19%(12/79); 7.6% misdiagnosed(6/79).Conclusion Standardized and systematic screening for abnormal pregnancy and combined 4 section method is the first and necessary examination method for fetal congenital heart disease. It has a high positive rate for fetal congenital heart disease, and has important clinical value.
Objective The present situation of fetal congenital heart disease(congenital heart disease) was analyzed in our hospital in January 2015,-2017, 12 months. Methods In our hospital from January 2015 December-2017 in our hospital in the cards, pregnant malformation in 30680 cases, 4 were detected by ultrasound combined with abnormal suspicious fetal congenital heart disease in 79 cases, the perinatal and neonatal heart consultation super diagnosis of fetal congenital heart disease in 61 cases, 12 cases were misdiagnosed, the misdiagnosis of 6 cases. Results The 4 section combined with the detection rate of 2.57% malformation in pregnancy for fetal congenital heart disease, the diagnosis rate was 77.22%; missed 15.19%(12/79); 7.6% misdiagnosed(6/79).Conclusion Standardized and systematic screening for abnormal pregnancy and combined 4 section method is the first and necessary examination method for fetal congenital heart disease. It has a high positive rate for fetal congenital heart disease, and has important clinical value.
引文
[1]刘碧玉,梁理娟,李振兴.65例胎儿先天性心脏病超声检查分析[J].深圳中西医结合杂志,2015.5.25(9):60-61.
[2]Lee W,Allan L,Carvalho JS,et al.ISUOG consensus statement:what constitutes a fetal echocardiogram?Ultrasound Obstet Cynecol.2008;32:239-242.
[3]谢乐燕,解左平,袁华,等.二维超声四切面法在胎儿先天性心脏病筛查中的作用[J].医学影像学杂志,2015,25(08):1462-1465.
[4]刘晓伟,何怡华,张烨.胎儿心脏超声检查常见误诊与漏诊分析[J].中国医学影像技术,2015,31(04):593-596.
[5]Fermont L,De Geeter B,Aubry J,et al.A close collaboration between obstetricians and pediatric cardiologists allows antenatal detection of severe cardiac malformations by 2D echocardiography.In:Doyle EF,Engle MA,Gersony WM,et al,eds.Pediatric Cardiology:Proceedings of the Secong World Congress.New York,NY:Springer-Verlag;1986:34-37.
[6]任芸芸,李笑天,桂永浩,等.胎儿先天性心脏病产前超声筛查诊断模式的评价[J].中华妇产科杂志,2008,43(8):589-592.
[7]张文.超声四腔心平面头侧偏斜法在孕期胎儿心脏畸形筛查中的价值[J].现代医用影像学,2015,24(03):446-448.
[8]刘琳,何怡华,胎儿超声心动图实用指南[M].北京科学技术出版社,2017,第3版,第9章:106-118.
9.阿地来·马合木提,再努热·克力木.三血管切面在胎儿心脏大血管畸形超声诊断中的临床诊断价值[J].中外女性健康研究,2017(03):20-21.
[10]邢杰.探讨心脏超声筛查对胎儿先天性心脏病诊断及临床应用价值[J].中国妇幼保健,2016,31(05):986-987.
[11]张楠楠.产前胎儿系统超声筛查对减少胎儿出生缺陷的价值分析[J].河北医药,2017,39(17):2683-2684+2687.
[12]董凤群,胎儿先天性心脏病超声筛查手册[M].人民卫生出版社,2016.10,第1版,第1章:7-8.
[13]牛华,刘保民,亢春苗,等.产前超声诊断胎儿主动脉疾病临床价值[J].中国超声医学杂志,2015,31(04):347-350.
[14]王慧,孙立群,牛建梅,等.彩色多普勒超声多切面联合显示法在高危人群产前胎儿心脏筛查中的诊断价值[J].诊断学理论与实践,2014,13(05):515-518.
[2]Lee W,Allan L,Carvalho JS,et al.ISUOG consensus statement:what constitutes a fetal echocardiogram?Ultrasound Obstet Cynecol.2008;32:239-242.
[3]谢乐燕,解左平,袁华,等.二维超声四切面法在胎儿先天性心脏病筛查中的作用[J].医学影像学杂志,2015,25(08):1462-1465.
[4]刘晓伟,何怡华,张烨.胎儿心脏超声检查常见误诊与漏诊分析[J].中国医学影像技术,2015,31(04):593-596.
[5]Fermont L,De Geeter B,Aubry J,et al.A close collaboration between obstetricians and pediatric cardiologists allows antenatal detection of severe cardiac malformations by 2D echocardiography.In:Doyle EF,Engle MA,Gersony WM,et al,eds.Pediatric Cardiology:Proceedings of the Secong World Congress.New York,NY:Springer-Verlag;1986:34-37.
[6]任芸芸,李笑天,桂永浩,等.胎儿先天性心脏病产前超声筛查诊断模式的评价[J].中华妇产科杂志,2008,43(8):589-592.
[7]张文.超声四腔心平面头侧偏斜法在孕期胎儿心脏畸形筛查中的价值[J].现代医用影像学,2015,24(03):446-448.
[8]刘琳,何怡华,胎儿超声心动图实用指南[M].北京科学技术出版社,2017,第3版,第9章:106-118.
9.阿地来·马合木提,再努热·克力木.三血管切面在胎儿心脏大血管畸形超声诊断中的临床诊断价值[J].中外女性健康研究,2017(03):20-21.
[10]邢杰.探讨心脏超声筛查对胎儿先天性心脏病诊断及临床应用价值[J].中国妇幼保健,2016,31(05):986-987.
[11]张楠楠.产前胎儿系统超声筛查对减少胎儿出生缺陷的价值分析[J].河北医药,2017,39(17):2683-2684+2687.
[12]董凤群,胎儿先天性心脏病超声筛查手册[M].人民卫生出版社,2016.10,第1版,第1章:7-8.
[13]牛华,刘保民,亢春苗,等.产前超声诊断胎儿主动脉疾病临床价值[J].中国超声医学杂志,2015,31(04):347-350.
[14]王慧,孙立群,牛建梅,等.彩色多普勒超声多切面联合显示法在高危人群产前胎儿心脏筛查中的诊断价值[J].诊断学理论与实践,2014,13(05):515-518.