[1]刘 丹,韩媛媛.四腔心联合三血管切面在孕中晚期胎儿先天性心脏病超声筛查中的应用价值[J].陕西医学杂志,2022,51(4):478-480,502.[doi:DOI:10.3969/j.issn.1000-7377.2022.04.022]
　LIU Dan,HAN Yuanyuan.Application value of four chamber view combined with three vessels view in ultrasonic screening of fetal congenital heart disease in the second and third trimester of pregnancy[J].,2022,51(4):478-480,502.[doi:DOI:10.3969/j.issn.1000-7377.2022.04.022]
点击复制

四腔心联合三血管切面在孕中晚期胎儿先天性心脏病超声筛查中的应用价值
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年4期
页码:
478-480,502
栏目:
临床研究
出版日期:
2022-04-05

文章信息/Info

Title:
Application value of four chamber view combined with three vessels view in ultrasonic screening of fetal congenital heart disease in the second and third trimester of pregnancy
作者:
刘 丹1; 韩媛媛2
(1.汉中市人民医院超声诊疗科,陕西 汉中 723000; 2.镇巴县人民医院功能科,陕西 汉中 723600)
Author(s):
LIU Dan; HAN Yuanyuan
(Department of Ultrasound Diagnosis and Treatment,Hanzhong People's Hospital,Hanzhong 723000,China)
关键词:
先天性心脏病;  超声筛查;  四腔心切面;  三血管切面;  应用价值
Keywords:
Congenital heart disease;  Ultrasonic screening;  Four chamber view;  Three vessels view;  Application value
分类号:
R 725.4
DOI:
DOI:10.3969/j.issn.1000-7377.2022.04.022
文献标志码:
A
摘要:
目的:探讨四腔心切面(FCV)联合三血管切面(3V)在孕中晚期胎儿先天性心脏病(CHD)超声筛查中的应用价值。方法:选取2862例孕妇为研究对象,经病理学检查确诊CHD胎儿84例。对所有胎儿进行FCV和3V检查。统计FCV、3V及两者联合检查的诊断结果,并与病理结果进行比较。采用受试者工作特征(ROC)曲线分析FCV、3V及两者联合诊断胎儿CHD的效能。结果:FCV诊断出CHD阳性胎儿45例,与病理结果比较,诊断符合率为53.57%。3V诊断出CHD阳性胎儿69例,与病理结果比较,诊断符合率为82.17%。两者联合诊断出CHD阳性胎儿75例,与病理结果比较,诊断符合率为89.29%。ROC曲线分析表明,FCV联合3V诊断胎儿CHD的效能较高,且敏感度和阴性预测值高于单项诊断(均P<0.05)。结论:FCV联合3V在孕中晚期胎儿CHD超声筛查中具有良好的应用价值。
Abstract:
Objective:To explore the application value of four chamber view(FCV)combined with three vessels view(3V)in ultrasound screening of fetal congenital heart disease(CHD)in the second and third trimesters of pregnancy.Methods:A total of 2862 pregnant women were enrolled as the research objects,and 84 cases of CHD fetuses were diagnosed by pathological examination.All fetuses were examined for FCV and 3V.The diagnostic results of FCV,3V and their combination were counted and compared with pathological results.The receiver operating characteristic(ROC)curve was used to analyze the efficacy of FCV,3V and their combination in the diagnosis of fetal CHD.Results:45 CHD fetuses were diagnosed by FCV,and the diagnostic coincidence rate was 53.57% in comparation with the pathological results.69 CHD fetuses were diagnosed by 3V,and the diagnostic coincidence rate was 82.17% in comparation with the pathological results.75 cases of CHD fetuses were diagnosed by the combination of the two,and the diagnostic coincidence rate was 89.29% in comparation with the pathological results.ROC curve analysis showed that FCV combined with 3V was more effective in the diagnosis of fetal CHD,and the sensitivity and negative predictive value were higher than those of single diagnosis(all P<0.05).Conclusion:FCV combined with 3V has good application value in ultrasonic screening of fetal CHD in the second and third trimester of pregnancy.

参考文献/References:

[1] 殷志媛,李佳桐,陈晓会,等.品管圈活动改进先天性心脏病患儿开胸术后多管道管理的方法研究[J].中国临床实用医学,2019,10(4):65-67.
[2] Ding Z,Yang W,Yi K,et al.Correlations between ISL1 rs1017 polymorphism and congenital heart disease risk:A PRISMA-compliant meta-analysis[J].Medicine,2020,99(2):e18715-e18717.
[3] Denayer N,Troost E,Santens B,et al.Comparison of risk stratification models for pregnancy in congenital heart disease[J].Int J Cardiol,2020,323(15):54-60.
[4] Zahari N,Bah M,Razak HA,et al.Ten-year trend in prevalence and outcome of down syndrome with congenital heart disease in a middle-income country[J].Eur J Pediatr,2019,178(8):1267-1274.
[5] Rosati E,Chitano G,Dipaola L,et al.Indications and limitations for a neonatal pulse oximetry screening of critical congenital heart disease[J].J Perinat Med,2005,33(5):455-457.
[6] 弓 瑜.彩色多普勒超声检查在孕中晚期胎儿心脏畸形筛查中的临床价值[J].陕西医学杂志,2017,46(10):1449-1450.
[7] 安县朝,薛 菁,尚小轶.四腔心切面加声束头侧偏转法对胎儿心脏畸形的筛查价值[J].陕西医学杂志,2016,45(1):30-32.
[8] 王 媛,赵 旭,杨 娅,等.超声时间-空间关联成像技术及三维超声在胎儿先天性心脏畸形及心外畸形诊断中的应用价值[J].中国全科医学,2019,22(3):346-350.
[9] 马 威,魏 波,张慧萍.染色体微阵列分析技术在先天性心脏病胎儿产前遗传学诊断中的应用价值[J].陕西医学杂志,2020,49(11):1436-1439.
[10] 闫景彬,闫秀梅,杨建享,等.产前超声筛查胎儿先天性心脏病的临床意义及高危因素分析[J].中华全科医学,2016,14(1):114-115.
[11] 李晶晶,刘 媛,谢思远,等.超声心动图筛查高原地区新生儿先天性心脏病及其自然转归[J].中国医药,2018,13(9):1303-1307.
[12] 员小春,刘梅梅,张 欢,等.孕早期超声心动图对超声软指标阳性胎儿复杂先天性心脏病的诊断价值[J].现代生物医学进展,2017,17(28):5536-5539.
[13] 周佳梅,解左平,袁 华,等.超声“四切面”法筛查胎儿心脏大动脉根部平行走向先心病的临床价值[J].实用医学杂志,2016,32(5):861-862.
[14] Devore GR,Satou G,Sklansky M.Area of the fetal heart's four-chamber view:A practical screening tool to improve detection of cardiac abnormalities in a low-risk population[J].Prenatal Diag,2017,37(2):151-155.
[15] 王 杏,司徒莹,谢家玉.四腔心切面法和四腔心平面头侧偏斜法彩色多普勒超声检查对孕期胎儿心脏畸形的诊断价值对比[J].中国医学装备,2019,16(2):69-71.
[16] 史建伟.四腔心切面和三血管切面在胎儿心脏畸形筛查中的价值[J].南昌大学学报:医学版,2016,56(5):57-59.
[17] 安县朝,薛 菁,尚小轶.四腔心切面加声束头侧偏转法对胎儿心脏畸形的筛查价值[J].陕西医学杂志,2016,45(1):30-32.
[18] 潘柳芬.三血管气管切面在胎儿心脏大血管异常检查中的应用价值[J].生物医学工程与临床,2017,21(4):373-376.
[19] 李晓伟.四腔心联合三血管切面在孕中晚期胎儿心脏病超声筛查中的应用[J].中国医药指南,2018,16(17):142-143.
[20] 李晶晶,刘 媛,谢思远,等.超声心动图筛查高原地区新生儿先天性心脏病及其自然转归[J].中国医药,2018,13(9):1303-1307.

相似文献/References:

[1]马 威,魏 波,张慧萍△.染色体微阵列分析技术在先天性心脏病胎儿产前遗传学诊断中的应用价值*[J].陕西医学杂志,2020,49(11):1436.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.017]
　MA Wei,WEI Bo,ZHANG Huiping..Application value of chromosome microarray analysis technology in prenatal genetic diagnosis of fetuses with congenital heart disease[J].,2020,49(4):1436.[doi:DOI:10.3969/j.issn.1000-7377.2020.11.017]
[2]潘 婉,李 伟,徐永君,等.先天性心脏病患儿血清微小RNA-148b-3p表达水平及临床意义[J].陕西医学杂志,2022,51(3):334.[doi:DOI:10.3969/j.issn.1000-7377.2022.03.016]
　PAN Wan,LI Wei,XU Yongjun,et al.Expression of serum miR-148b-3p in children with congenital heart disease and its clinical significance[J].,2022,51(4):334.[doi:DOI:10.3969/j.issn.1000-7377.2022.03.016]

更新日期/Last Update: 2022-04-07