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目的探讨实施胎儿心脏超声筛查对先天性心脏病的检出价值。方法选取2014年6月-2015年6月该院接诊的进行超声检查的孕妇203例为研究对象。对所有孕妇均采用常规的彩色多普勒超声进行检查,共检测出先天性心脏病患儿26例,观察26例先天性心脏病患儿超声诊断、病理对照结果。结果产前超声检查的203例胎儿中,阳性检出26例,阳性检出率为12.80%(26/203),其中复杂性先天性心脏病合并心外畸形4例、单心室3例、心内膜垫缺损2例、肺动脉瓣狭窄3例、室间隔缺损4例、肺动脉闭锁3例、三尖瓣下移4例、法洛氏四联症3例。结论通过对胎儿的四腔切面、五腔切面、三血管气管切面、肺动脉切面、动脉导管弓切面作为标准切面,对胎儿的心脏进行检查,能够提高筛查率和准确率,降低胎儿出现心脏畸形率,具有非常重要的意义,值得推广。
Objective To investigate the value of fetal heart ultrasound screening for congenital heart disease. Methods Totally 203 pregnant women undergoing ultrasound examination from June 2014 to June 2015 were selected as the study objects. All pregnant women were examined by routine color Doppler sonography. A total of 26 cases of congenital heart disease were detected in 26 cases of congenital heart disease in children with ultrasound diagnosis, pathological control results. Results Among the 203 fetuses examined by prenatal ultrasonography, 26 cases were positive, the positive rate was 12.80% (26/203). Among them, 4 cases had complex congenital heart disease with extracardiac deformity, 3 cases with single ventricle, Intimal pad defects in 2 cases, pulmonary stenosis in 3 cases, ventricular septal defect in 4 cases, pulmonary atresia in 3 cases, tricuspid valve down in 4 cases, tetralogy of Fallot in 3 cases. Conclusions Fetal heart can be inspected by using four-chamber section, five-chamber section, tri-vessel trachea section, pulmonary artery section and arterial catheter arch section as the standard section, which can improve screening rate and accuracy and reduce fetal malformation Rate, has a very important meaning, it is worth promoting.