Saxena Anita, Soni N Reeni
Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
Indian J Pediatr. 2005 Jul;72(7):603-8. doi: 10.1007/BF02724187.
This article reviews the indications, technique and benefits of fetal echocardiography. The impact of fetal echocardiography has become evident with better surgical outcome of infants with prenatal diagnosis of congenital heart disease. A major use of this technique has also been shown in the field of fetal arrhythmias. Fetal echocardiography is not only used to diagnose a specific type of arrhythmia, it is also very helpful in assessing the effect of the arrhythmia on the fetus and in guiding transplacental therapy. However it is important to remember that even experienced echocardiographers can make both false positive and false negative diagnosis of congenital heart disease. As fetal cardiac interventions including fetal cardiac surgery loom on the horizon, fetal echocardiography assumes further importance.
本文综述了胎儿超声心动图的适应证、技术及优势。随着先天性心脏病产前诊断的婴儿手术效果改善，胎儿超声心动图的影响已变得明显。该技术在胎儿心律失常领域也有重要应用。胎儿超声心动图不仅用于诊断特定类型的心律失常，在评估心律失常对胎儿的影响及指导经胎盘治疗方面也非常有帮助。然而，重要的是要记住，即使是经验丰富的超声心动图专家也可能对先天性心脏病做出假阳性和假阴性诊断。随着包括胎儿心脏手术在内的胎儿心脏干预技术即将出现，胎儿超声心动图的重要性进一步凸显。
