彩色多普勒超声在诊断胎儿先天性心脏病中的价值研究

摘要

Objective To explore the application value of color Doppler ultrasound in the diagnosis of fetal congenital heart disease.Methods From February 2015 to July 2016, 32 cases of pregnant women were selected in our hospital with fetal congenital heart disease as the object of study. All pregnant women were with conventional ultrasound and color Doppler ultrasound were disease diagnosis, comparative analysis of two methods of detection rate, statistical color Doppler ultrasound detection of cases of the disease types.ResultsColor Doppler ultrasound detection rate (96.88%) was higher than that of conventional ultrasound (62.5%), the difference was statistically signiifcant (P<0.01); Fetal congenital heart disease types:tetralogy of Fallot in 12 cases (38.71%); Atrial septal defect cases 6 (19.35%); 6 cases (19.35%) of ventricular septal defect (VSD); Vascular abnormalities in 3 cases (9.68%); Endocardial cushion defect in 2 cases (6.45%); Mitral valve development dysplasia in 1 cases (3.22%), 1 cases of Ebstein's malformation (3.22%).Conclusion Color Doppler ultrasound in pregnancy mid-term fetal congenital heart disease the ideal diagnostic methods, is conducive to the realization of eugenics.%目的：探讨彩色多普勒超声诊断胎儿先天性心脏病的应用价值。方法选取我院2015年2月～2016年7月收治的32例确诊为胎儿先天性心脏病的孕妇为研究对象，全部孕妇均以常规超声和彩超进行疾病诊断，对比分析两种方法的检出率，统计彩超检出病例的疾病类型。结果彩色多普勒超声检出率（96.88%）高于常规超声（62.5%），差异具有显著统计学意义（P＜0.01）；胎儿先心病类型：法洛四联症12例（38.71%）；房间隔缺损例6例（19.35%）；室间隔缺损6例（19.35%）；大血管异常3例（9.68%）；心内膜垫缺损2例（6.45%）；二尖瓣发育不良1例（3.22%）；三尖瓣下移畸形1例（3.22%）。结论彩色多普勒超声是妊娠中期胎儿先天性心脏病的理想诊断方法，有利于优生优育的实现。