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目的探析胎儿超声心动图在复杂心脏畸形诊断及预后判断中的应用价值。方法 122例进行产前胎儿超声心动图检查的孕妇,对比超声心动图诊断结果与病例结果。结果 122例孕妇中,病例结果证实84例(68.9%)心脏形态及血流正常或仅存在极小的简单心脏畸形,另外38例(31.1%)为复杂心脏畸形,共计57处。其中超声心动图共检出35例共计52处,诊断准确率达92.1%(35/38)、敏感度为91.2%(52/57),漏诊右位主动脉弓2处、永存左上腔静脉2处、主动脉弓缩窄1处。结论产前超声心动图对胎儿复杂心脏畸形进行诊断利于预后的评估,为孕妇后期决策提供有力信息,可大幅降低围生儿死亡率值得推广。
Objective To investigate the value of fetal echocardiography in the diagnosis and prognosis of complicated cardiac malformations. Methods A total of 122 pregnant women undergoing prenatal fetal echocardiography were compared with the results of echocardiographic diagnosis and case. Results Of the 122 pregnant women, 84 (68.9%) confirmed cardiac morphology and normal blood flow or had only minimal simple heart abnormalities. Another 38 patients (31.1%) had complex heart malformations, totaling 57. Among them, echocardiography detected a total of 52 cases in 35 cases, with the diagnostic accuracy rate of 92.1% (35/38), sensitivity of 91.2% (52/57), missed right aortic arch 2, permanent left superior vena cava 2, Aortic arch narrowed 1 place. Conclusions Prenatal echocardiography can be used to evaluate the prognosis of complex fetal cardiac malformations and provide powerful information for late pregnant women’s decisions, which can greatly reduce the perinatal mortality.