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目的探讨产前超声诊断胎儿先天性心脏病的漏诊、误诊原因并进行分析。方法 324例进行胎儿心脏超声筛查的孕妇,对出生前后的超声心动图进行对比分析,确定是否存在漏诊、误诊。结果出生后再次行超声心动图检查发现产前漏诊的先天性心脏病12例、占受检胎儿的3.7%,5例被误诊、占受检胎儿的1.54%。结论先天性心脏病的漏诊、误诊存在各种各样的主观和客观原因,应尽量减少主观因素,用标准的切面、适宜的产检时机、先进的仪器及丰富的临床经验减少漏诊、误诊。
Objective To investigate the causes of misdiagnosis and misdiagnosis of prenatal ultrasound in the diagnosis of fetal congenital heart disease. Methods A total of 324 pregnant women who underwent fetal cardiac ultrasound screening were analyzed before and after birth by echocardiography to determine whether there was misdiagnosis. Results After birth, echocardiography again found that 12 cases of congenital heart disease missed prenatal diagnosis, accounting for 3.7% of fetuses tested, 5 cases were misdiagnosed, accounting for 1.54% of fetuses tested. Conclusions There are various subjective and objective reasons for misdiagnosis and misdiagnosis of congenital heart disease. Subjective factors should be minimized. Misdiagnosis and misdiagnosis should be reduced with standard aspects, appropriate production opportunity, advanced equipment and rich clinical experience.