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目的探讨产前超声在胎儿心脏畸形诊断中的应用效果。方法选取2014年在佛山市第一人民医院进行常规检查的孕妇12389例(胎儿12500例),使用彩色多普勒超声诊断仪进行超声检查,比较孕妇超声诊断情况,统计经超声诊断的心脏畸形检出率,并进行随访。结果 12389例孕妇中出现胎儿心脏异常情况的有178例,其余12211例孕妇的胎儿心脏形态和血流正常,心脏畸形的发生率为1.4%(178/12389)。漏诊4例,超声检查产前的准确率为97.9%(184/188),心脏畸形检出率为1.5%(184/12500),严重的心脏畸形检出准确率为100.0%。结论产前对胎儿进行超声诊断可以快速准确地诊断出胎儿是否有严重的心脏畸形,安全无创伤。
Objective To investigate the application of prenatal ultrasound in the diagnosis of fetal cardiac malformations. Methods A total of 12,389 pregnant women (12 500 fetuses) were enrolled in the First People’s Hospital of Foshan City in 2014. The color Doppler ultrasonography was used for ultrasonography. The ultrasound diagnosis of pregnant women was compared. The ultrasound diagnosis of cardiac malformation Rate, and follow-up. Results Among the 12 389 pregnant women, there were 178 cases of fetal cardiac abnormalities. The other 12 122 pregnant women had fetal heart morphology and normal blood flow, and the incidence of heart malformations was 1.4% (178/12389). Misdiagnosis in 4 cases, the accuracy rate of prenatal ultrasound examination was 97.9% (184/188), the rate of cardiac malformations was 1.5% (184/12500), and the accuracy rate of severe cardiac malformations was 100.0%. Conclusion Prenatal ultrasound diagnosis of the fetus can quickly and accurately diagnose the fetus has a serious heart deformity, safe and non-invasive.