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目的探讨胎儿超声心动图作为产前常规检查方法的价值。方法2002年8月至2003年8月首都医科大学附属北京朝阳医院连续对557例妊娠2028周孕妇行产前胎儿超声心动图检查并追踪围生儿预后。结果胎儿超声心动图检出异常者81例,检出率14·54%。其中先天结构性心脏异常6例(1·08%),非结构性心脏异常75例(13·46%)。以瓣膜关闭不全比例最大,其中轻度关闭不全多属生理范围。结论产前常规胎儿超声心动图检查对提高胎儿结构性心血管异常的检出率有重要作用,但应慎重处理,避免不必要的干预。
Objective To investigate the value of fetal echocardiography as a routine prenatal examination method. Methods From August 2002 to August 2003, Beijing Chaoyang Hospital, Capital Medical University, consecutively examined prenatal fetal echocardiography in 557 pregnancies of 2028 gestational weeks and tracked the prognosis of perinatal infants. Results Fetal echocardiography detected abnormalities in 81 cases, the detection rate was 14.54%. Six cases (1. 08%) had congenital structural heart abnormalities and 75 (13.46%) non-structural cardiac abnormalities. The largest proportion of valve insufficiency, including mild partial closure is the most physiological range. Conclusion Prenatal conventional fetal echocardiography has an important role in improving the detection rate of fetal structural cardiovascular abnormalities, but should be carefully handled to avoid unnecessary intervention.