评估胎儿心脏在第一次和第二个三个月:结果和局限性
T U K Dilek1, A Oktay2, E G Aygun2
1Halic University School of Medicine, Department of Obstetrics and Gynecology, Istanbul, Turkey.
Nigerian journal of clinical practice
|July 20, 2023
概括
第一个三个月的胎儿心脏查对于检测先天性心脏缺陷是有效的,尽管有些病例可能会错过. 建议在怀孕第二季度进一步检查可疑发现.
科学领域:
- 产前诊断 在产前诊断.
- 胎儿医学 胎儿医学
- 心脏病学 心脏病学
背景情况:
- 遗传性心脏缺陷发生在每1000个活产婴儿中有6-12例.
- 这些缺陷比三症更常见.
研究的目的:
- 评估第一季度 (11-14周) 胎儿心脏查的疗效.
- 确定早期查的技术限制.
- 为了比较第一季度的查与第二季度的超声波检查.
主要方法:
- 对3295例怀孕的回顾性审查,其中包括第一季度胎儿解剖扫描.
- 标准化超声波协议,包括四室视图和流出通道.
- 与同一个运营商进行的第二季度 (18-23周) 检查进行比较.
主要成果:
- 在第一季度检测到32个心脏异常的胎儿 (9.7/1000).
- 另外15例病例在第二个三个月被诊断出 (4.55/1000).
- 出生心脏异常的总体患病率为14.25/1000例怀孕;15例是在第一季度错过的.
结论:
- 在第一季度末期的胎儿检查是可行的,用于早期检测先天性心脏缺陷.
- 怀疑的发现需要在第二个三个月内得到确认.
- 高BMI和微妙缺陷等因素可能导致错过诊断.
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