Value of echocardiography with different sections in the diagnosis of fetal tetralogy of Fallot

DENG Xi; JIANG Huan; JIANG Yan; LAI Xiaoyue; TANG Qi; GAO Yunhua; XU Yali; XIA Hongmei

doi:10.16245/j.cnki.issn1008-6978.2020.06.022

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Value of echocardiography with different sections in the diagnosis of fetal tetralogy of Fallot

更新时间：2021-10-08

- Value of echocardiography with different sections in the diagnosis of fetal tetralogy of Fallot
- Journal of Clinical Ultrasound in Medicine Vol. 22, Issue 6, Pages: 466-468(2020)
- 作者机构：
  
  1. 中国人民解放军陆军军医大学第二附属医院超声科
  2. 重庆康华众联心血管病医院超声科
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2020.06.022
  CLC： R540.45;R725.4
- Published：2020，
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[1]邓曦,蒋欢,蒋演,赖晓玥,唐琪,高云华,徐亚丽,夏红梅.超声心动图不同切面诊断胎儿法洛四联症疾病谱的价值分析[J].临床超声医学杂志,2020,22(06):466-468.

DENG Xi, JIANG Huan, JIANG Yan, et al. Value of echocardiography with different sections in the diagnosis of fetal tetralogy of Fallot. [J]. Journal of Clinical Ultrasound in Medicine 22(6):466-468(2020)
[1]邓曦,蒋欢,蒋演,赖晓玥,唐琪,高云华,徐亚丽,夏红梅.超声心动图不同切面诊断胎儿法洛四联症疾病谱的价值分析[J].临床超声医学杂志,2020,22(06):466-468. DOI： 10.16245/j.cnki.issn1008-6978.2020.06.022.

DENG Xi, JIANG Huan, JIANG Yan, et al. Value of echocardiography with different sections in the diagnosis of fetal tetralogy of Fallot. [J]. Journal of Clinical Ultrasound in Medicine 22(6):466-468(2020) DOI： 10.16245/j.cnki.issn1008-6978.2020.06.022.

摘要

目的应用超声心动图观察不同切面对胎儿法洛四联症（TOF）疾病谱的诊断价值。方法回顾性分析我院产前超声诊断为TOF的33例胎儿超声资料

并与产后超声、引产后病理对照

对胎儿四腔心切面（4CV）、左右心室流出道切面（VOTV）、三血管切面（3VV）、主动脉根部短轴切面（AR-SAV）的超声特征进行总结。结果 32例胎儿经产后超声或引产后解剖证实为TOF

1例胎儿产后超声诊断为单纯室间隔缺损。4CV联合VOTV+3VV+AR-SAV对胎儿TOF的诊断准确率（96.97%）显著高于4CV+VOTV+3VV（90.90%）、4CV+3VV（84.85%）、4CV+VOTV（72.73%）、4CV+ARSAV（63.64%）、4CV（33.33%）

差异均有统计学意义（均P<0.05）。结论胎儿TOF具有特征性超声表现

对肺动脉发育情况重点观察有利于胎儿TOF分型的判断。不同切面联合应用有助于提高TOF的诊断准确率。

Abstract

ObjectiveTo explore the diagnostic value of prenatal echocardiography with different sections in tetralogyof Fallot.MethodsThe ultrasound data of 33 cases of tetralogy of fallot（TOF）were analyzed retrospectively

the results wascompared with postpartum echocardiography and pathological anatomy

and the ultrasound image characteristics of four-chamber view（4 CV）

ventricular outflow tract section（VOTV）

three-vessel section（3 VT）and aortic root short-axis section（AR-SAV）were summarized.ResultsThirty-two fetuses were confirmed as TOF by post-echocardiography or autopsy

and1 fetus just simple venticular septal defect verified by postpartum echocardiography.The diagnostic rate of combination of 4 CV

VOTV

3 VT and AR-SAV for fetal TOF（96.97%）was significantly higher than that of 4 CV+ VOTV +3 VT（90.90%）

4 CV+3 VT（84.85%）

4 CV+ VOTV（72.73%）

4 CV+ AR-SAV（63.64%）and 4 CV（33.33%）

the difference were statistically significant（all P<0.05）.ConclusionFetal TOF have their echocardiographic features

the observation of pulmonary artery development isbeneficial to the judgment of fetal TOF classification.Combined application of different sections helps to improve the accuracy ofTOF prenatal diagnosis.

关键词

超声心动描记术法洛四联症胎儿产前

Keywords

EchocardiographyTetralogy of FallotFetusPrenatal

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