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[1]郭珊,李尚青,吳秋梅,等.超聲兩切面法在早孕期胎兒復(fù)雜先天性心臟病中的應(yīng)用價值[J].福建醫(yī)藥雜志,2022,44(06):16-20.
　GUO Shan,LI Shangqing,WU Qiumei,et al.Application value of ultrasound two views screening method in fetal complex congenital heart disease in the first trimester[J].FUJIAN MEDICAL JOURNAL,2022,44(06):16-20.
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超聲兩切面法在早孕期胎兒復(fù)雜先天性心臟病中的應(yīng)用價值()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
44
期數(shù):
2022年06期
頁碼:
16-20
欄目:
臨床研究
出版日期:
2022-12-15

文章信息/Info

Title:
Application value of ultrasound two views screening method in fetal complex congenital heart disease in the first trimester
文章編號:
1002-2600（2022）06-0016-05
作者:
郭珊; 李尚青; 吳秋梅; 劉敏; 翁宗杰1
福建省婦幼保健院 福建醫(yī)科大學婦兒臨床醫(yī)學院超聲科（福州 350001）
Author(s):
GUO Shan; LI Shangqing; WU Qiumei; LIU Min; WENG Zongjie
Department of Ultrasound,Clinical college of Obstetrics and Gynecology，F(xiàn)ujian Medical University,Fujian Provincial Maternal and Child Health Hospital，F(xiàn)uzhou，F(xiàn)ujian 350001,China
關(guān)鍵詞:
超聲兩切面法; 早孕期; 復(fù)雜先天性心臟病; 胎兒
Keywords:
ultrasound two views screening method; first trimester; complex congenital heart disease; fetus
分類號:
R445.1
文獻標志碼:
B
摘要:
目的 探討胎兒心臟四腔心切面加三血管-氣管切面（超聲兩切面法）在早孕期復(fù)雜先天性心臟病（CHD）檢查中的應(yīng)用價值。方法 對2021年1月1日至2021年12月31日在我院就診的6 348例孕婦行超聲兩切面法掃查，超聲結(jié)果與引產(chǎn)后尸解或產(chǎn)后新生兒超聲心動圖檢查及心臟手術(shù)結(jié)果比較。評估超聲兩切面法對胎兒復(fù)雜CHD的診斷效能，并分析超聲漏誤診原因。結(jié)果 6 348例孕婦經(jīng)驗證共檢出13種、36例復(fù)雜CHD，其中早孕期診斷30例、中孕期診斷3例、晚孕期診斷1例、出生后診斷2例。超聲兩切面法對早孕期復(fù)雜CHD診斷敏感性為80.56%，特異性為99.98%，陽性預(yù)測值96.67%，陰性預(yù)測值99.89%。結(jié)論 超聲兩切面法對早孕期胎兒復(fù)雜CHD有良好的診斷效能，具有重要的臨床應(yīng)用價值。
Abstract:
Objective To investigate the application value of four-chamber view and three-vessel tracheal view of fetal heart (ultrasound two views screening method) in screening complex congenital heart disease(CHD) in first trimester. Methods A total of 6 348 pregnant women who visited our hospital from January 1, 2021 to December 31, 2021 were examined by ultrasound two views screening method. And the results were compared with those of postpartum autopsy or postpartum echocardiography and surgery. And ultrasound two views screening method for the diagnosis of fetal complex CHD effectiveness were evaluated, and the ultrasound misdiagnosis reason were analyzed. Results A total of 6 348 cases were enrolled in this study, and 36 cases (13 types) of CHD were dignosed, among which 30 cases were diagnosed in the first trimester, 3 cases in the second trimester, 1 case in the third trimester and 2 cases after birth. The sensitivity, specificity, positive predictive value and negative predictive value of ultrasound two views screening method for the diagnosis of complex CHD in early pregnancy were 80. 56%, 99. 98%, 96. 67% and 99. 89%, respectively. Conclusion Ultrasound two views screening method has good diagnostic efficacy for fetal complex CHD in the first trimester and has important clinical application value.

參考文獻/References:

[1] Duta S, Veduta A, Vayna A M, et al. The outcome of structural heart defects diagnosed in the first trimester of pregnancy [J]. J Matern Fetal Neonatal Med, 2021, 34(9): 1389-1394.
[2] Qiu X, Weng Z, Liu M, et al. Prenatal diagnosis and pregnancy outcomes of 1 492 fetuses with congenital heart disease: role of multidisciplinary-joint consultation in prenatal diagnosis[J]. Scientific Reports, 2020, 10(1):7564.
[3] Jicinska H, Vlasin P, Jicinsky M, et al. Does first-trimester screening modify the natural history of congenital heart disease? analysis of outcome of regional cardiac screening at 2 different time periods[J]. Circulation, 2017, 135(11): 1045-1055.
[4] Lloyd D, Pushparajah K, Simpson J M, et al. Three-dimensional visualisation of the fetal heart using prenatal MRI with motion-corrected slice-volume registration: a prospective, single-centre cohort study[J]. The Lancet, 2019, 393(10181):1619-1627.
[5] Yagel S, Cohen S M, Messing B. First and early second trimester fetal heart screening[J]. Current Opinion in Obstetrics & Gynecology, 2007, 19(2):183-190.
[6] 中華醫(yī)學會胸心血管外科學分會, 中華醫(yī)學會小兒外科學分會心胸外科學組, 國家心血管病中心先天性心臟病專業(yè)委員會, 等. 中國心臟出生缺陷圍產(chǎn)期診斷和臨床評估處置專家共識[J]. 中華小兒外科雜志, 2018, 39(3):163-170.
[7] Salomon L J, Alfirevic Z, Bilardo C M, et al. ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan published correction appears in Ultrasound Obstet Gynecol[J]. Ultrasound Obstet Gynecol, 2013, 41(1):102-113.
[8] Ye B, Wu Y, Chen J, et al. The diagnostic value of the early extended fetal heart examination at 13 to 14 weeks gestational age in a high-risk population[J]. Translational pediatrics, 2021, 10(11): 2907-2920.
[9] Hutchinson D, McBrien A, Howley L, et al. First-trimester fetal echocardiography: identification of cardiac structures for screening from 6 to 13 weeks gestational age. [J]. J Am Soc Echocardiogr, 2017, 30(8):763-772.
[10] Huhta J C. First-trimester screening for congenital heart disease [J]. Current opinion in cardiology, 2016, 31(1): 72-77.

備注/Memo

備注/Memo:
基金項目：福建省自然科學基金項目（2021J01420）
1 通信作者，Email:[email protected]
更新日期/Last Update: 2022-12-15