中国医学创新2024，Vol.21Issue(30)：110-114,5.DOI:10.3969/j.issn.1674-4985.2024.30.025
11～14周规范化超声筛查在胎儿心脏严重结构畸形中的应用
Application of Standardized Ultrasound Examination at 11-14 Weeks in Severe Structural Malformations of Fetal Heart
摘要
Abstract
Objective:To investigate the application value of standardized ultrasound examination at 11-14 weeks in severe structural malformations of fetal heart.Method:A total of 10 000 pregnant women who underwent ultrasound examination during early pregnancy in Jiujiang Maternal and Child Health Hospital from January 2022 to December 2023 were retrospectively selected,and the clinical case data and ultrasound imaging results were complete.The results of standardized ultrasound examination in early pregnancy and follow-up were analyzed,and the diagnostic efficacy of standardized ultrasound examination in early pregnancy was analyzed.Result:Of the 10 000 fetuses in this study,30 had severe structural malformations of the heart.Ultrasonography during early pregnancy showed that 40.00%(12/30)had NT thickening,26.67%(8/30)had DVa wave reversal,and 16.67%(5/30)had tricuspid regurgitation(TR).A total of 25 fetuses were diagnosed with severe structural malformations of the heart,and 5 were missed,with a detection rate of 83.33%(25/30).Using follow-up results as the gold standard,the sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of standardized ultrasound examination for diagnosing severe cardiac structural abnormalities in early pregnancy fetuses were 83.33%,100%,99.95%,100%,and 99.95%,respectively,which were highly consistent with the follow-up results.Conclusion:The standardized ultrasound examination in early pregnancy has high accuracy in diagnosing severe structural malformations of fetal heart and is worthy of popularization and application.关键词
早孕期/超声筛查/心脏严重结构畸形/先天性心脏病Key words
Early pregnancy/Ultrasound examination/Severe structural malformations of the heart/Congenital heart disease引用本文复制引用
程琳,张茜,刘优优,江楠,卫建辉..11～14周规范化超声筛查在胎儿心脏严重结构畸形中的应用[J].中国医学创新,2024,21(30):110-114,5.基金项目
江西省卫生健康委科技计划项目(202410669) （202410669）
