孕11～13+6 周超声筛查胎儿心脏严重畸形的临床价值

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (0 KB) HTML (34 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the clinical value of prenatal ultrasound screening for fetal severe cardiac malformations at 11-13+6 weeks of gestation.Methods From January 2016 to December 2018,5128 pregnant women in the prenatal diagnosis center of our hospital were selected as the study subjects.The pregnant women were screened by NT ultrasound standardized structure at 11-13+6 weeks of gestation.All patients were screened for fetal heart with fourchamber(4CV)and three-vessel tracheotomy(3VVT).The results of severe cardiac malformations detected by the two methods alone and in combination were analyzed retrospectively.Results Among the 5128 pregnant women who underwent NT examination in our hospital since 11-13+6 weeks of gestation,the rates of obtaining 4CV,3VVT,4CV+3VVT by three methods were 91.56%,78.91%and 95.82%,respectively.A total of 26 cases of severe fetal heart malformations were examined,with the incidence of 0.5‰.Among them,14,7 and 22 cases of abnormal cardiac structure were detected by 4CV,3VVT and 4CV+3VVT respectively.The specificity of the three methods in the diagnosis of severe fetal heart malformation was similar,and there was no statistical difference (P＞0.05).The sensitivity of 4CV+3VVT in the diagnosis of severe fetal heart malformation was higher than that of the other two methods,but the rate of missed diagnosis was lower than that of the other two methods(P<0 05).Conclusion Prenatal ultrasound examination in pregnant women at 11 to 13+6 weeks of gestation is of great clinical value in screening for severe fetal heart deformities,especially,the combined screening of 4CV and 3VVT can effectively improve the diagnosis rate of severe cardiac malformations of fetus during the first trimester of pregnancy.

Key words： Fetal heart Ultrasound Severe deformity +6 ')" href="#">11-13+6 weeks of gestation

	Service

	E-mail this article +6 weeks of gestation”. Please open it by linking:http://dangdaiyiyao.com/EN/abstract/abstract8275.shtml" name="neirong">
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	HUANG Shu-xian
	SHE Ling-na
	ZENG Mei
	LIU Li-na

Cite this article:

HUANG Shu-xian,SHE Ling-na,ZENG Mei, et al. Clinical value of ultrasonography in screening fetal severe cardiac malformations at 11-13+6 weeks gestation[J]. 中国当代医药, 2019, 26(16): 183-185.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I16/183

[1]	王银.11-13+6周胎儿严重心脏畸形产前超声诊断研究[D].广州：南方医科大学，2012.
[2]	王雷.产前筛查诊断胎儿心脏畸形的现状[J].中国医学影像学杂志，2014，22（5）：398-400.
[3]	胡海涛.孕11～13+6周产前超声筛查胎儿严重心脏畸形的临床价值[J].实用医技杂志，2018，25（7）：716-717.
[4]	李胜利.早孕期胎儿严重心脏畸形的产前筛查与咨询[J].临床超声医学杂志，2018，20（1）：1-4.
[5]	王慧芳，熊奕，吴瑛，等.胎儿三血管气管平面在胎儿心室发育不良诊断中的价值[J].中国医学影像技术，2005，21（11）：1738-1740.
[6]	蒋蓓蕾．1l～13+6周胎儿严重心脏畸形产前超声诊断研究[J]．中外医疗，2015，（9）：18l-182．
[7]	李胜利，文华轩．11～13“周早孕期胎儿超声规范化扫查技术及判断标准[J]．中华医学超声杂志（电子版），2014，11（1）：6-12．
[8]	黄芳.早孕期（11～13+6周）胎儿严重心脏畸形的超声诊断以及孕期的中医护理[J].内蒙古中医药，2017，36（4）：166-167.
[9]	郑少花.早孕期超声检查在胎儿心脏畸形中的诊断价值[J].滨州医学院学报，2016，39（4）：299-300，303.
[10]	漆玖玲，崔爱平，孙红，等.超声筛查孕11～13+6周胎儿畸形的初探[J].上海医学影像，2011，15（4）：287-293.
[11]	陈萍，常才，徐惠英.早孕期11-14+6周胎儿超声心动图探讨[J].中华超声影像学杂志，2011，21（5）：428-431.
[12]	查长松，黄月红，黄海生，等.彩色多普勒超声诊断胎儿严重心脏畸形[J].中华医学超声杂志（电子版），2011，8（6）：1363-1367.
[13]	姚远，李胜利，刘菊玲，等.四腔心切面在产前超声诊断先天性心脏畸形中的应用[J].中国妇幼保健，2005，20（13）：1621-1622.
[14]	杨艳东，张永良.孕11～14周胎儿超声软指标在胎儿心脏结构评估中的价值[J].中华妇产科杂志，2014，49（3）：188-192.
[15]	Cuneo BF，Curran LF，Davis N，et al．Trends inprenataldiagnosisofcritical cardiac defects inanintegrated obstetric and pediatric cardiac imaging center[J]．J Periualtol，2004，24（11）：674-678.
[16]	Lee W，Allan L，Csrvalho JS，et al．Consensus statement：what constitutes afetalechocardiogram?[J].Ultrasound Obstet Gynecol，2008，32（2）：239-242.
[17]	Hank C，Bartelings MM，Gittenberger-De Groot AC，et al．Cardiac malformations infirst—trimester fetuses with increasednuchaltranslucencyt ultrasound diagnosis andpostmortemmorphology[J]．Ultrasound Obstet Gyneeol，2002，20（17）：14-21.