[1]郭珊,李尚青,吴秋梅,等.超声两切面法在早孕期胎儿复杂先天性心脏病中的应用价值[J].福建医药杂志,2022,44(06):16-20.
 GUO Shan,LI Shangqing,WU Qiumei,et al.Application value of ultrasound two views screening method in fetal complex congenital heart disease in the first trimester[J].FUJIAN MEDICAL JOURNAL,2022,44(06):16-20.
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超声两切面法在早孕期胎儿复杂先天性心脏病中的应用价值()
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《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期数:
2022年06期
页码:
16-20
栏目:
临床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Application value of ultrasound two views screening method in fetal complex congenital heart disease in the first trimester
文章编号:
1002-2600(2022)06-0016-05
作者:
郭珊李尚青吴秋梅刘敏翁宗杰1
福建省妇幼保健院 福建医科大学妇儿临床医学院超声科(福州 350001)
Author(s):
GUO ShanLI ShangqingWU QiumeiLIU MinWENG Zongjie
Department of Ultrasound,Clinical college of Obstetrics and Gynecology,Fujian Medical University,Fujian Provincial Maternal and Child Health Hospital,Fuzhou,Fujian 350001,China
关键词:
超声两切面法早孕期复杂先天性心脏病胎儿
Keywords:
ultrasound two views screening methodfirst trimestercomplex congenital heart diseasefetus
分类号:
R445.1
文献标志码:
B
摘要:
目的 探讨胎儿心脏四腔心切面加三血管-气管切面(超声两切面法)在早孕期复杂先天性心脏病(CHD)检查中的应用价值。方法 对2021年1月1日至2021年12月31日在我院就诊的6 348例孕妇行超声两切面法扫查,超声结果与引产后尸解或产后新生儿超声心动图检查及心脏手术结果比较。评估超声两切面法对胎儿复杂CHD的诊断效能,并分析超声漏误诊原因。结果 6 348例孕妇经验证共检出13种、36例复杂CHD,其中早孕期诊断30例、中孕期诊断3例、晚孕期诊断1例、出生后诊断2例。超声两切面法对早孕期复杂CHD诊断敏感性为80.56%,特异性为99.98%,阳性预测值96.67%,阴性预测值99.89%。结论 超声两切面法对早孕期胎儿复杂CHD有良好的诊断效能,具有重要的临床应用价值。
Abstract:
Objective To investigate the application value of four-chamber view and three-vessel tracheal view of fetal heart (ultrasound two views screening method) in screening complex congenital heart disease(CHD) in first trimester. Methods A total of 6 348 pregnant women who visited our hospital from January 1, 2021 to December 31, 2021 were examined by ultrasound two views screening method. And the results were compared with those of postpartum autopsy or postpartum echocardiography and surgery. And ultrasound two views screening method for the diagnosis of fetal complex CHD effectiveness were evaluated, and the ultrasound misdiagnosis reason were analyzed. Results A total of 6 348 cases were enrolled in this study, and 36 cases (13 types) of CHD were dignosed, among which 30 cases were diagnosed in the first trimester, 3 cases in the second trimester, 1 case in the third trimester and 2 cases after birth. The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound two views screening method for the diagnosis of complex CHD in early pregnancy were 80. 56%, 99. 98%, 96. 67% and 99. 89%, respectively. Conclusion Ultrasound two views screening method has good diagnostic efficacy for fetal complex CHD in the first trimester and has important clinical application value.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:福建省自然科学基金项目(2021J01420)
1 通信作者,Email:wengzongjie1984@fjmu.edu.cn
更新日期/Last Update: 2022-12-15