缺血性左心综合征:胎儿心声学对出生患病率的影响
L D Allan1, A Cook, I Sullivan
1Department of Perinatal Cardiology, Guy's Hospital, London, UK.
Lancet (London, England)
|April 20, 1991
概括
通过胎儿超声波增加了低可塑性左心综合征 (HLHS) 的产前诊断. 早期诊断允许父母做出明智的决定,导致治疗新生儿HLHS显著减少.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 胎儿医学 胎儿医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 缺血性左心综合征 (HLHS) 是一种严重的先天性心脏缺陷.
- 产前诊断已经发展,影响了管理策略.
- 区域转诊中心观察到HLHS病例的趋势.
研究的目的:
- 分析 HLHS 的产前诊断和治疗的趋势.
- 评估改进的超声波技术对HLHS发病率的影响.
- 为新生儿心脏护理设施的未来规划提供信息.
主要方法:
- 自1983年以来对105例胎儿HLHS诊断的回顾性审查.
- 检测率与超声波经验和技术的相关性.
- 在诊断和咨询后,分析家长的决定.
- 在一个超区域转诊中心检查治疗趋势.
主要成果:
- 自1988年以来,产前发现HLHS的增加,归因于增强的四腔视图超声波.
- 自1988年以来,接受治疗的HLHS新生儿数量显著下降.
- 当诊断发生在早期,并讨论了选择时,终止怀孕是常见的.
- 受治疗的HLHS发病率降低表明,产前查的有效性有所提高.
结论:
- 在胎儿超声波中广泛的四室心脏查有效地减少了需要治疗的HLHS分娩的数量.
- 早期和准确的产前诊断HLHS影响管理和家长的选择.
- 新生儿心脏移植的医疗保健资源规划必须考虑改善产前检测和查的影响.
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