【摘要】：目的探討超聲節(jié)段分析聯(lián)合連續(xù)掃描法在診斷胎兒心臟圓錐動(dòng)脈干畸形(CTD)的臨床價(jià)值。方法對(duì)24 050例單胎妊娠孕婦采用超聲節(jié)段分析法進(jìn)行胎兒心臟篩查,對(duì)可疑的胎兒再聯(lián)合連續(xù)掃描法進(jìn)一步重點(diǎn)檢查。分析產(chǎn)前與產(chǎn)后超聲心動(dòng)圖或尸檢結(jié)果的差異。結(jié)果 24 050例孕婦中,37例產(chǎn)后超聲心動(dòng)圖及尸檢證實(shí)為CTD。超聲節(jié)段分析法診斷CTD 31例,漏診3例,誤診3例;運(yùn)用節(jié)段分析聯(lián)合連續(xù)掃描法診斷CTD 36例,漏診1例,誤診1例。超聲節(jié)段分析聯(lián)合連續(xù)掃描法檢出CTD的靈敏度高于單獨(dú)超聲節(jié)段分析法(94.6%vs.83.8%)(P0.05)。結(jié)論超聲節(jié)段分析聯(lián)合連續(xù)掃描法能有效提高胎兒CTD的診斷靈敏度。
[Abstract]:Objective to evaluate the clinical value of segmental analysis combined with continuous scan in the diagnosis of fetal cardiac conical artery trunk malformation (CTD). Methods 24 050 pregnant women with single pregnancy were screened by ultrasonic segmental analysis. To analyze the difference between prenatal echocardiography and postpartum echocardiography or autopsy. Results among 24,050 pregnant women, 37 cases were confirmed as CTD. by postpartum echocardiography and autopsy. CTD was diagnosed by segmental analysis in 31 cases, missed diagnosis in 3 cases, misdiagnosis in 3 cases, segmental analysis combined with continuous scanning in 36 cases, missed diagnosis in 1 case, misdiagnosis in 1 case. The sensitivity of ultrasonic segmental analysis combined with continuous scanning in detecting CTD was higher than that in single segmental analysis (94.6v. 83.8%) (P0.05). Conclusion Ultrasound segmental analysis combined with continuous scanning can improve the diagnostic sensitivity of fetal CTD.
【作者單位】： 江蘇大學(xué)第四附屬醫(yī)院超聲科;
【基金】：鎮(zhèn)江市衛(wèi)生科技重點(diǎn)專(zhuān)項(xiàng)課題(SH2014094)
【分類(lèi)號(hào)】：R540.45;R714.5
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本文編號(hào)：2336492