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目的:探讨彩超筛查在产前诊断胎儿心脏畸形中的价值。方法:选择做过彩色多普勒超声筛查(胎龄20~28周)共3012例。其中住院分娩或引产解剖确诊胎儿心脏畸形24例,现对确诊胎儿心脏畸形的24例胎儿心脏声图象进行统计、分析、总结。结果:本组资料统计胎儿心脏畸形发生率为7.97‰。24例胎儿心脏畸形中被彩超筛查检出且准确者20例,诊断符合率83.4%;彩超检查出但不符合2例,误诊率8.3%;未被彩超筛查出2例,漏诊率8.3%。结论:超声对诊断胎儿心脏畸形的检出率较高,具有较高的临床应用价值。
Objective: To explore the value of color Doppler ultrasonography in the diagnosis of fetal heart deformity. Methods: Choosing done color Doppler ultrasound screening (gestational age 20 ~ 28 weeks) a total of 3012 cases. Among them, 24 cases of fetal heart malformations were confirmed by hospital delivery or abortion, and 24 cases of fetal heart sound images confirmed by fetal heart malformations were analyzed and summarized. Results: The incidence of fetal heart malformations in this group was 7.97 ‰. Twenty-four cases of fetal cardiac malformations were detected by color Doppler ultrasonography and 20 cases were correctly diagnosed. The diagnostic coincidence rate was 83.4%. The color Doppler ultrasound examination did not accord with 2 cases and the misdiagnosis rate was 8.3% %. Conclusion: The detection rate of ultrasound diagnosis of fetal heart malformations higher, with high clinical value.