首页|超声四腔心切面联合三血管切面检测对胎儿心脏畸形的诊断效能分析

超声四腔心切面联合三血管切面检测对胎儿心脏畸形的诊断效能分析

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  • NETL
  • NSTL
  • 万方数据
目的:分析超声四腔心切面(Four chamber view,FCV)联合三血管切面(Three vessels view,3V)在胎儿心脏畸形中的诊断效能.方法:选取 2019年 6 月至2022 年2 月期间本院收治的 140 例疑似胎儿心脏畸形产妇作为研究对象.产前均行胎儿超声心动图、超声FCV和 3V检查,跟踪随访至产妇引产或分娩后新生儿心动图检查.将产妇引产结果或分娩后新生儿心动图检查结果作为"金标准".分析比较超声 FCV、3V 及联合检测评估胎儿心脏畸形的价值.结果:经引产结果和分娩后新生儿心动图检查结果确定,140 例疑似胎儿心脏畸形产妇中胎儿心脏畸形共 115 例;胎儿超声心动图诊断胎儿心脏畸形结果显示,阳性 99 例,阴性 41 例;胎儿超声心动图和超声FVC检测均发现胎儿心脏畸形 99 例,诊断符合率为 80.00%;超声 3V检测发现胎儿心脏畸形 100 例,诊断符合率为 82.14%;超声FVC联合 3V检测发现胎儿心脏畸形 114 例,诊断符合率为 90.71%.以引产结果和分娩后新生儿心动图检查结果为"金标准",超声FCV、3V和胎儿超声心动图联合检查评估胎儿心脏畸形的准确度、灵敏度均高于各自单独评估(P＜0.05).胎儿超声心动图、超声FCV、超声 3V三者联合产前诊断胎儿心脏畸形与金标准一致性Kappa值最高.结论:超声FCV联合 3V评估胎儿心脏畸形有一定的临床应用价值.
Diagnostic efficiency analysis of fetal heart malformations by ultrasonography with four-chamber heart section combined with three-vessel section
Objective:To analyze the diagnostic efficacy of ultrasound with Four chamber view(FCV)combined with Three vessels view(3V)in fetal heart malformations.Methods:140 pregnant women with suspected fetal heart malformation admitted to our hospital from June 2019 to February 2022 were selected as the study objects.Fetal echocardiography,FCV and 3V examinations were performed before delivery,followed up to induction of labor or neonatal echocardiography after delivery.The results of induced labor or neonatal cardiogram after delivery are considered as the"gold standard".To analyze and compare the value of FCV,3V and combined ultrasonography in the evaluation of fetal heart malformation.Results:According to the results of induced labor and neonatal cardiogram after delivery,there were 115 cases of fetal heart malformation among 140 suspected patients.Fetal echocardiography showed positive in 99 cases and negative in 41 cases.Fetal echocardiography and FVC detection showed 99 cases of fetal heart malformation,the diagnosis coincidence rate was 80.00%.100 cases of fetal heart malformation were found by ultrasonic 3V detection,and the diagnostic coincidence rate was 82.14%.114 cases of fetal heart malformation were detected by FVC combined with 3V,and the diagnostic coincidence rate was 90.71%.With the results of induction of labor and post-delivery neonatal cardiogram as the"gold standard",the accuracy and sensitivity of FCV,3V and fetal echocardiography in the evaluation of fetal heart malformation were higher than that of individual evaluation(P<0.05).Fetal echocardiography,FCV and 3V combined prenatal diagnosis of fetal heart malformations had the highest Kappa value consistent with the gold standard.Conclusion:Ultrasound FCV combined with 3V has certain clinical value in evaluating fetal heart malformation.

Fetal heart malformationUltrasoundFour-chamber incisorTrivascular sectionDiagnostic value

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商丘市第五人民医院超声科,河南 商丘 476000

胎儿心脏畸形 超声 四腔心切面 三血管切面 诊断价值

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子：0.575
ISSN：1671-3885
年,卷(期)：2024.46(6)