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·胸部疾病·

研究产前超声筛查对妊娠中期胎儿复杂性心脏畸形的诊断价值

作者:赵白信

所属单位:河南省郑州市第七人民医院(郑州市心血管病医院)功能科 (河南 郑州 450000)

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摘要

目的 分析产前超声筛查对妊娠中期胎儿复杂性心脏畸形的诊断价值,为临床提供更安全有效的检查方法。方法 选 取2015年2月-2016年12月在我院进行产前超声筛查的妊娠中期孕妇2800例,回顾性分析上述孕妇的超声检查资料。 观察并比较产前超声与产后随访胎儿复杂性心脏畸形的结果。结果 2800例孕妇中,经临床胎儿出生后或引产后证 实,胎儿复杂性心脏畸形共30例,产前超声筛查的胎儿复杂性心脏畸形检出率与产后随访比较,差异没有统计学意 义(P>0.05)。结论 对于妊娠中期胎儿来说,进行产前超声筛查,可提高复杂性心脏畸形的检出率,在临床上具有 一定的诊断价值。

Objective To investigate the diagnostic value of obstetric ultrasound examination on fetal complex cardiac abnormalities during mid-term pregnancy and provide safe and effective inspection methods. Methods 2800 pregnant women in their second trimester given obstetric ultrasound examination in our hospital from February 2015 to December 2016 were selected and retrospectively analyzed. Observe and compare the results of complex cardiac abnormalities before obstetric ultrasound examination and postpartum follow-up. Results After confirmation, there were 30 cases with fetal complex cardiac abnormalities from 2800 pregnant women, relevance ratio of fetal complex cardiac abnormalities before obstetric ultrasound examination and postpartum follow-up had no statistic significance (P>0.05). Conclusion For fetuses in the second trimester pregnancy, the application of obstetric ultrasound examination can improve relevance ratio of fetal complex cardiac abnormalities and has certain diagnostic value in clinic.

【关键词】妊娠中期;胎儿复杂性心脏畸形;产前超声筛查;诊断价值

【中图分类号】R714.15

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.06.008

前言

目前,临床上常应用产前超声筛查对胎儿复杂性 心脏畸形进行诊断,有研究发现,妊娠中期进行产前 超声筛查更有利于胎儿复杂性心脏畸形的诊断,因此 本研究为了进一步分析产前超声筛查对妊娠中期胎儿 复杂性心脏畸形的诊断价值[1]。特在我院选取2015年 2月~2016年12月在我院进行产前超声筛查的妊娠中 期孕妇2800例,收集资料进行分析,现汇报如下。