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胎儿心电声谱 - - 一种改善诊断和管理的方法
Badreldeen Ahmed1,2,3, Amal Elsisi4, Justin C Konje1,3,5
1Feto Maternal Centre, Al Markhiya Doha, Doha P.O. Box 34181, Qatar.
Diagnostics (Basel, Switzerland)
|November 27, 2024
概括
使用心电回声仪对胎儿心脏缺陷的产前诊断是可行的,并且得到了家长的好评. 这种远程,多学科的方法提供专家咨询,改善专业胎儿心脏护理的可用性.
科学领域:
- 胎儿医学 胎儿医学
- 心脏病学 心脏病学
- 远程医疗远程医疗
背景情况:
- 心脏异常的产前诊断和产后护理规划需要多学科的专业知识.
- 在某些中心,对专门的儿科心脏病学家,新生儿学家和胎儿医学医生的接触可能是有限的.
- 现代技术为远程提供这些专业服务提供了潜力.
研究的目的:
- 评估产前多学科远程心声诊断诊断和咨询服务的可行性和结果.
- 评估患者满意度,并确定远程服务的局限性.
主要方法:
- 两个不同国家的中心在14个月内建立了一个联合诊断和咨询服务.
- 使用Voluson E10机器进行胎儿心声扫描,并通过Zoom OPS进行实时图像传输以进行视频咨询.
- 扫描遵循了国际妇产科超声波学会 (ISUOG) 准则清单.
主要成果:
- 最初的2个月可行性期扫描了10个正常胎儿.
- 在12个月的时间里,扫描了513名高风险胎儿,确定了27种先天性形,最常见的是低可塑性左心综合征 (HLHS) 和心房隔膜缺陷.
- 远程心声学和咨询在所有情况下都是成功的,患者满意度得分为3.8/4.4.
结论:
- 远程心声学,结合小儿心脏病专家的实时咨询,是患者可靠和可接受的选择.
- 该服务提供了显著的好处,使专家在一次会议中进行咨询,减少了旅行负担.
- 该研究支持基于技术进步的远程心声学和其他远程胎儿医学服务的发展和扩展.
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