Analysis of the value of prenatal ultrasound in the diagnosis of fetal cardiovascular malformations
WANG Yuan-yuan1, WANG Kun2, DONG Feng-qun2, ZHANG Xiao-hua2, LI Qiang1, WU Xiang-ling1
1.Department of Ultrasound, The First Central Hospital of Baoding, Baoding Hebei 071000, China;
2.Department of Fetal Heart Ultrasonography, Hebei Maternity Hospital, Shijiazhuang 050000, China
Abstract Objective: To study and analyze the clinical value of prenatal ultrasound diagnosis in fetal cardiovascular malformations. Methods: 1 000 cases of pregnant women from January 2014 to January 2017 in the First Central Hospital of Baoding were selected as the research objects, the prenatal ultrasound examination was implemented, the test results were analyzed, and the results were compared with postnatal autopsy or postpartum ultrasound examination results. Results: 57 cases of fetal cardiovascular malformations were found through prenatal fetal echocardiographic examination in 1 000 cases of pregnant women, and the malformation rate was 5.7%(57/1 000). There were 36 cases diagnosed by cardiovascular ultrasound after delivery, 11 cases confirmed by autopsy after induction of labor, and 10 cases lost to follow-up, the accuracy rate of prenatal ultrasonography was 82.46%(47/57). 2 cases of ductus arteriosus tortuosity and stenosis were re-examined after 1 month of delivery, and the results were normal; 2 cases of ventricular septal defect wereclosed after 4 months of delivery. 943 cases of maternal prenatal fetal echocardiographic examination showed no abnormalities, including 4 cases diagnosed with ventricular septal defect or atrial septal defect by echocardiography after birth; advanced age and ectopic pregnancy are high risk factors for cardiovascular malformations of the fetus. Prenatal ultrasound examination in early pregnancy and reexamination in late pregnancy are appropriate timing for ultrasound examination. Conclusion: Prenatal ultrasonography can effectively improve the quality of maternal delivery and improve the quality of life of newborns, which has important clinical value.
WANG Yuan-yuan1,WANG Kun2,DONG Feng-qun2, et al. Analysis of the value of prenatal ultrasound in the diagnosis of fetal cardiovascular malformations[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(1): 24-27.
[1]李永康，黄嘉本. 彩色多普勒超声诊断在胎儿先天性心脏病筛查的临床应用价值[J]. 中国妇幼保健，2015，30（1）：115-117.
[2]郝晓艳，何怡华，张烨，等. 产前诊断单脐动脉及其合并心血管畸形的意义[J]. 心肺血管病杂志，2016，34（9）：706-708.
[3]Weedn AE, Mosley BS, Cleves MA, et al. Maternal reporting of prenatal ultrasounds among women in the National Birth Defects Prevention Study[J]. Birth Defects Res A Clin Mol Teratol, 2014, 100(1): 4-12.
[4]佘玲娜，许桃英，刘利娜，等. 产前超声检查诊断胎儿先天性畸形的价值[J]. 海南医学，2015，26（12）：1856-1858.
[5]姚维妙，项小苗，潘姣娥，等. 超声心动图诊断胎儿肺动脉异常起源的价值[J]. 中华超声影像学杂志，2015，24（9）：814-815.
[6]付煜玮，翁宗杰，孙宝娟，等. 胎儿超声心动图结合大血管铸型对胎儿心脏畸形的漏误诊分析[J]. 中国超声医学杂志，2017，33（4）：322-325.
[7]兰清馥，盛建国. 系统超声检查在不同孕期诊断胎儿畸形的临床观察[J]. 海军医学杂志，2017，38（1）：66-69.
[8]Barros FS, Rolo LC, Rocha LA, et al. Reference ranges for the volumes of fetal cardiac ventrieular walls by three-dimensional ultrasound using spatiotemporal image correlation and virtual organ computer-aided analysis and its validation in fetuses with congenital heart diseases[J]. Prenat Diagn, 2015, 35(1): 65-73．
[9]蔡丽莉. 不同孕周产前超声筛查胎儿畸形的临床研究[J]. 中华全科医学，2015，13（5）：810-811．
[10]孙星星，张忠磊，贺祎. 产前超声筛查胎儿先天性心脏病价值和意义的探讨[J]. 中国优生与遗传杂志，2017，25（1）：113-114.
[11]王凤兰，王建华，张云亭，等. 产前超声诊断992例胎儿心脏畸形分析[J]. 中国妇幼保健，2015，30（16）：2602-2603．
[12]Perlman S, Shashar D, Hoffmann C, et al. The Prenatal diagnosis of fetal ventriculomegaly: Agreement between fetal brain ultrasonography and MR imaging[J]. Am J Neuroradiol, 2014, 35(6): 1214-1218.
[13]Giang do TC, Rajeesh G, Vaidyanathan B. Prenatal dingnosis of isolated interrupted infeior veva with azygos continuation to superior vena cava[J]. Ann Pediatr Cardiol, 2014, 7(1): 49-51.
[14]袁曾柳，李金英，王抒雁. 系统产前超声在胎儿心脏畸形诊断中的临床应用[J]. 中国优生与遗传杂志，2015，23（11）：108-109．
[15]王凤兰，王建华，张云亭，等. 胎儿结构畸形产前超声诊断分析[J]. 中华医学超声杂志：电子版，2015，12（6）：497-502.
2019, Vol. 30 
