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目的:对胎儿心内强回声灶进行产前诊断并探讨其临床意义。方法:回顾2010年1月至2012年12月的852例超声心动图检查,对筛选出的中、晚期妊娠检查中胎儿的心内强回声灶记录进行综合分析,开展临床追踪随访及胎儿心脏结构检查。结果:共检出心内强回声灶胎儿29例,检出率3.4%;25例(86.2%)出现在左心室,3例(10.3%)出现在右心室,1例(3.4%)在左、右心室均出现;29例胎儿未伴有心律失常和先天性心血管畸形等畸形。结论:孤立存在的胎儿心内强回声灶与胎儿染色体异常、心脏畸形无明显相关性,不作为终止妊娠的指征。
Objective: To prenatal diagnosis of fetal intracardiac echogenic stove and to explore its clinical significance. Methods: A retrospective analysis of 852 cases of echocardiography from January 2010 to December 2012 was conducted to analyze the records of intracardiac hyperechoic foci of the fetus during the screening of middle and late pregnancies. The clinical follow-up and fetal heart structure an examination. RESULTS: Twenty-nine cases of intracardiac echogenic foci were detected, the detection rate was 3.4%. 25 cases (86.2%) appeared in the left ventricle and 3 cases (10.3%) appeared in the right ventricle. One case (3.4% , Right ventricular appear; 29 cases of fetus without arrhythmia and congenital cardiovascular malformations and other deformities. Conclusion: There is no significant correlation between the strong echogenic foci in isolated fetus and fetal chromosomal abnormalities and cardiac malformations, and not as an indication of termination of pregnancy.