Hou Dong-min, Qin Ping, Zhou Bao-li, Cui Shu-qi
Department of Ultrasound, Capital Medical University, Beijing 100006, China.
Zhonghua Yi Xue Za Zhi. 2010 Sep 7;90(33):2354-6.
To evaluate the value of four chamber view, outflow tract view and color Doppler echocardiography for detecting the fetal congenital heart defects among high-risk populations. And to discuss the significance of screening congenital heart defects by three methods and select the suitable method for wider applications.
The echocardiographic records of all pregnant women performed at our hospital from January 2006 to December 2007 were reviewed retrospectively by screening of clinical epidemiology. All cases received ultrasonic examinations. The abnormal cases with postnatal confirmation by echocardiogram or autopsy were included. The abnormalities detected in each view were analyzed and classified.
A total of 52 fetuses with congenital heart defects were detected by gray scale sonography and color Doppler sonography in 1310 cases. Each specific cardiac defect had its typical finding in these three planes. The sensitivities of three methods were 61.5%, 88.5% and 96.1% respectively.
Four chamber view, outflow tract view and color Doppler sonography have played an important role in screening fetal common congenital heart defects. Outflow tract view is easy to operate and it may be recommended as a suitable method.
评估四腔心切面、流出道切面及彩色多普勒超声心动图在高危人群中检测胎儿先天性心脏缺陷的价值。并探讨三种方法筛查先天性心脏缺陷的意义，选择合适的方法以便更广泛应用。
通过临床流行病学筛查，回顾性分析2006年1月至2007年12月在我院进行超声心动图检查的所有孕妇的记录。所有病例均接受超声检查。纳入产后经超声心动图或尸检证实异常的病例。分析并分类各切面检测到的异常情况。
在1310例病例中，通过灰阶超声和彩色多普勒超声共检测出52例先天性心脏缺陷胎儿。每种特定的心脏缺陷在这三个平面上都有其典型表现。三种方法的敏感性分别为61.5%、88.5%和96.1%。
四腔心切面、流出道切面及彩色多普勒超声在筛查胎儿常见先天性心脏缺陷中发挥了重要作用。流出道切面操作简便，可推荐作为一种合适的方法。
