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目的探讨超声诊断胎儿单心室畸形的临床价值。方法对所有受检胎儿在常规进行胎儿胎盘羊水等检查后,进行四腔心切面及左右流出道切面进行扫查,并对其发现的11例胎儿单心室的超声特点进行分析总结。结果 11例胎儿单心室畸形均经胎儿超声心动图复查或尸检证实,其中伴肺动脉狭窄8例。结论超声诊断胎儿单心室畸形具有较好的临床应用价值,但在检测中需密切注意胎儿四腔心的标准切面及房室间隔的完整性,以及左右心室流出道“剪刀样”交叉清晰显示,避免漏误诊。
Objective To investigate the clinical value of ultrasonic diagnosis of single fetal ventricular malformations. Methods All fetuses underwent routine examination of fetal placental amniotic fluid and other four examinations. The echocardiographic features of 11 cases of fetal single ventricle were analyzed. Results Eleven cases of single fetal ventricular malformations were confirmed by fetal echocardiography or autopsy, of which 8 cases had pulmonary stenosis. Conclusion Ultrasound diagnosis of fetal single ventricle deformity has a good clinical value, but in the detection of the need to pay close attention to the standard four-compartment fetal heart and atrioventricular septum integrity, and left ventricular outflow tract “scissors ” cross-clear Display, to avoid misdiagnosis.