五期双主动脉弓联合切口在产前低危胎儿筛查中的价值

Shunan Zhang, Chu Shen, Xin Zhang
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摘要

目的:探讨妊娠中期低危胎儿结构筛查中如何检查胎儿心脏检查的难度,探讨如何利用二维超声和彩色多普勒成像最大限度提高胎儿心脏异常检出率的更规范、有效、快速的检查方法。方法:在妊娠18-24周期间进行胎儿结构筛查的孕妇被纳入本研究。使用胎儿二维切片技术和彩色多普勒成像在第三层常规筛查胎儿心脏。采用“胎儿心脏超声5段基本切面结合双主动脉弓切面法”对每例胎儿心脏进行观察。从下往上依次为:1、腹部横切面;2、双进水段;3、左室流出道切片;4、右心室流出道切片;5、三维管切片;发现异常或可疑异常的进一步附加要求,这条胎儿超声心动图线直接到第四阶段的胎儿心脏筛查。对一些严重心脏异常,或合并多脏器畸形的胎儿标本采取基础解剖对照分析,并进行大量后期随访对照分析。结果:该方法可有效提高胎儿心脏异常的检出率。结论:该方法用于指导超声医生在妊娠期低危胎儿三级结构筛查时及时发现胎儿心脏异常,可有效减少或避免漏诊。2576 - 9588 . DOI: 10.29011 /。100023
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The value of five - stage combined double - aortic arch incision in prenatal screening of low risk fetus
Objective: To study how to check the difficulty of fetus heart examination in low risk fetus structure screening during the second trimester, and to explore how to use two-dimensional ultrasonography and color Doppler imaging to maximize the detection rate of fetal heart abnormalities The more standardized, effective and rapid inspection methods. Methods: Pregnant women who were screened for fetal structure during 18-24 weeks’ gestation were enrolled in this study. Fetal heart was routinely screened at the third level using fetal two-dimensional section technique and color Doppler imaging. Fetal heart of each case using the “fetal heart ultrasound 5 section basic section combined with double-aortic arch section method” were observed. From the bottom up are: 1, transverse section of the abdomen; 2, dual inflow section; 3, left ventricular outflow tract section; 4, right ventricular outflow tract section; 5, three vascular section; Discovery of Abnormal or Suspicious Anomalies Further append requests for this fetal line of echocardiography are directed to the fourth level of fetal heart screening. And some serious cardiac abnormalities, or combined with multiple organ malformation fetus specimens taken basic anatomical control analysis, and a large number of late follow-up control analysis. Results: This method can effectively improve the detection rate of fetal heart abnormalities. Conclusion: The method is used to instruct the ultrasound doctor to detect the fetal heart abnormality during the screening of the third-level structure of the fetus with low-risk during pregnancy, which can effectively reduce or avoid the missed diagnosis. DOI: 10.29011/2576-9588. 100023
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