| 李岩,李建玲,翟慧萍,常凤玲,刘罡,刘振.超声心动图诊断及随访胎儿单纯室间隔缺损[J].中国医学影像技术,2014,30(12):1897~1900 |
| 超声心动图诊断及随访胎儿单纯室间隔缺损 |
| Echocardiography in diagnosis and follow-up of fetal simple ventricular septal defect |
| 投稿时间：2014-08-09 修订日期：2014-09-24 |
| DOI： |
| 中文关键词: 超声心动描记术 超声检查,产前 胎儿 室间隔缺损 |
| 英文关键词:Echocardiography Ultrasonography, prenatal Fetus Heart septal defects, ventricular |
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| 中文摘要: |
| 目的 探讨超声心动图在胎儿单纯室间隔缺损(VSD)的产前诊断及随访中的应用价值。方法 纳入产前超声心动图诊断为VSD的胎儿35胎,分析胎儿超声心动图特征,对其进行宫内及出生后超声随访,观察缺损大小及闭合情况。结果 误诊2胎;非高危胎儿26胎、高危胎儿7胎;肌部缺损18胎(18/33,54.55%)、膜周缺损13胎(13/33,39.39%)、干下缺损1胎(1/33,3.03%)、隔瓣下缺损1胎(1/33,3.03%);失访1胎,宫内缺损闭合2胎,出生后3年内缺损闭合21例,未闭合9例。非高危胎儿缺损闭合率高于高危胎儿(P<0.05),肌部缺损闭合率明显高于膜周及其他部位缺损(P均<0.05),缺损直径≤3.0 mm者缺损闭合率明显高于缺损3.1~5.0 mm和>5.0 mm者(P均<0.05)。结论 超声心动图在胎儿单纯VSD的产前诊断、随访观察及治疗方案的选择等方面具有重要临床价值。 |
| 英文摘要: |
| Objective To investigate the application value of echocardiography in the prenatal diagnosis of fetal simple ventricular septal defect (VSD) and the follow-up. Methods Totally 35 fetuses with suspected VSD by prenatal echocardiography were enrolled. The fetus echocardiograph features were analyzed and the cases were followed before and after birth to observe the size of defect and the condition of closure. Results Two fetuses were misdiagnosed. Twenty-six were non-high-risk fetuses and the other 7 were high-risk ones; 18 fetuses (18/33, 54.55%) were muscular ventricular septal defect, 13 fetuses (13/33, 39.39%) were perimembranous ventricular septal defect, 1 fetus (1/33, 3.03%) was stem-inferior ventricular septal defect, and 1 fetus (1/33, 3.03%) was sub-ralvular ventricular septal defect. One case was lost for follow-up. Two cases were naturally closed in the womb, 21 cases recovered from the defect in the three years after birth, 9 cases failed to close. The incidence of defect closure in the non-high-risk fetuses was higher than that in the high-risk fetuses (P<0.05). The incidence of muscular ventricular septal defect closure was apparently higher that of perimembranous ventricular septal defect and the other defects (all P<0.05). The closure incidence of the defect with diameter of ≤3.0 mm was apparently higher compared with the defects with diameter of 3.1—5.0 mm and >5.0 mm (all P<0.05). Conclusion Echocardiography has an important clinical value on prenatal diagnosis, follow-up observation and chooses of treatment in simple VSD. |
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