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目的:探讨胎儿多普勒超声在筛查胎儿先天性心脏病中的临床应用效果及价值。方法:对10000例孕期为20-30周、前来我院行产前检查的孕妇定期进行胎儿多普勒超声检查,已引产的胎儿进行尸体解剖并确诊,新生儿一周后进行多普勒心动图检查,记录不同情况下、不同时期的检查情况及确诊结果,对结果进行分析比较。结果:10000例研究对象中产前检查出患先天性心脏病的胎儿有97例;引产的胎儿尸解结果显示没有误诊情况发生,与检查结果一致;出生一周后新生儿检查显示漏诊3例先心病患儿,成功诊出率为0.97%,漏诊率为0.03%。结论:胎儿多普勒超声检查对于胎儿先天性心脏病的筛查临床效果良好,应用价值较大,值得临床推广应用。
Objective: To investigate the effect and value of fetal Doppler ultrasound in screening fetal congenital heart disease. Methods: 10000 cases of pregnancy for 20-30 weeks, come to our hospital prenatal examination of pregnant women on a regular basis fetal Doppler ultrasound, the fetus has been postpartum autopsy and confirmed the diagnosis of newborns a week after Doppler heartbeat Figure check, record under different circumstances, at different times of the examination and confirmed the results, the results were analyzed and compared. Results: Among the 10000 cases, 97 fetuses with prenatal congenital heart disease were detected in prenatal study. The fetal autopsy results of fetuses showed no misdiagnosis and consistent with the test results. One week after birth, 3 cases of missed diagnosis Children with heart disease, the success rate of 0.97%, misdiagnosis rate of 0.03%. Conclusion: Fetal Doppler ultrasound screening for fetal congenital heart disease has a good clinical effect, and its application value is great and worthy of clinical application.