Deng Yanming, Zhan Lili, Yu Zhouli, Wan Jianfang
Department of Ultrasound Medicine, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai, China.
Department of Ultrasound, The Affiliated Suzhou Science & Technology Town Hospital of Nanjing Medical University, Suzhou, China.
Evid Based Complement Alternat Med. 2022 Jul 7;2022:6967655. doi: 10.1155/2022/6967655. eCollection 2022.
To explore the diagnostic value of abdominal B-ultrasound in the diagnosis of congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy.
50 pregnant women with congenital cardiac malformations and extracardiac malformations diagnosed in our hospital from 2015 to 2019 were retrospectively analyzed. The diagnostic results and the types of congenital heart disease complicated with extracardiac malformations were compared to analyze the diagnostic value of abdominal B-ultrasound.
In the diagnosis of 50 fetuses with congenital heart disease and extracardiac malformation, the tetralogy of Fallot syndrome accounts for the largest proportion. Abdominal B-ultrasound in the second trimester was associated with a higher detection rate of fetal heart malformation (72%) versus in the third trimester (40%) ( < 0.05). The single atrium and single ventricle had the highest diagnostic accuracy of fetal congenital heart malformation in the second trimester. The highest success rate of detection at different gestational weeks was observed at the 14th gestational week ( < 0.05). Four-chamber cardiac section (4CV) had the lowest diagnostic accuracy (62%) for cardiac malformations, and the 4CV + three-vessel-trachea plane (3VVT) had the highest diagnostic accuracy (90%) for cardiac malformations.
Abdominal B-ultrasound features a high diagnostic value for congenital heart disease complicated with extracardiac malformations in the second trimester of pregnancy, and the second trimester is the optimal detection timing with the highest detection accuracy.
探讨腹部B超在孕中期先天性心脏病合并心外畸形诊断中的价值。
回顾性分析2015年至2019年在我院诊断为先天性心脏畸形合并心外畸形的50例孕妇。比较诊断结果及先天性心脏病合并心外畸形的类型，分析腹部B超的诊断价值。
在50例先天性心脏病合并心外畸形胎儿的诊断中，法洛四联症综合征占比最大。孕中期腹部B超对胎儿心脏畸形的检出率（72%）高于孕晚期（40%）（<0.05）。孕中期单心房和单心室对胎儿先天性心脏畸形的诊断准确率最高。不同孕周中，孕14周时检出成功率最高（<0.05）。四腔心切面（4CV）对心脏畸形的诊断准确率最低（62%），四腔心切面+三血管-气管平面（3VVT）对心脏畸形的诊断准确率最高（90%）。
腹部B超对孕中期先天性心脏病合并心外畸形具有较高诊断价值，孕中期是检测准确性最高的最佳检测时机。
