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Prenatal diagnosis of fetal conotruncal anomalies by echocardiography
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1007-9408.2006.02.004
- Key Word:
- 超声心动描记术;超声检查,产前;心脏缺损,先天性
Abstract： 目的评价胎儿心脏锥干畸形产前超声心动图诊断准确性.方法运用胎儿超声心动图进行先天性心脏病产前诊断,并与心脏病理诊断或新生儿心脏超声诊断进行比较分析.结果2063例胎儿进行心脏超声检查,产前发现胎儿心脏锥干畸形28例,诊断时平均孕周26.6周(16～40周),产前诊断包括大血管转位5例,法洛四联症5例,右室双出口6例,永存动脉干9例,室间隔缺损合并主动脉骑跨可能1例,2例检查发现大血管位置异常但胎儿超声心动图未予明确诊断.24例经胎儿心脏病理检查或新生儿心脏超声检查确诊,4例失访(包括1例TOF/TA?,2例"大血管发育异常",1例TGA).比较产前诊断与产后诊断,分析大血管位置关系诊断准确性为75.0%(18/24).结论胎儿超声心动图可正确诊断胎儿心脏锥干畸形,需运用多种超声切面及彩色脉冲多普勒确定大血管位置关系.
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