超声心动图检测胎儿心包积液的临床价值

目的:探讨超声心动图检测胎儿心包积液的临床意义。方法:2007-2010年在我院检查行超声心动图检查的高危孕妇473例,同时设对照组,检测孕龄在20-40周无明显高危妊娠因素的孕妇472例,并将产前超声检查结果和胎儿尸检或分娩后超声心动图检查结果进行对照。结果:1.高危组检出72例心包积液,检出率12.5%,对照组检出13例心包积液,检出率3%,两组胎儿心包积液检出率间差别有统计学意义(x2=39.57,P<0.05)。2.85例心包积液中,孤立性心包积液38例,伴其他心脏畸形或者其他系统畸形47例,其中孤立性心包积液预后良好。结论:超声心动图能够敏感地检出胎儿心包积液;心包积液程度并不是最重要的,其伴随心脏畸形或者其他畸形决定预后。

Diagnostic Value of Fetal Echocardiography for Fetal Pericardial Effusionin

Objective: To investigate the diagnostic value of examining pericardial effusion on fetal by echocardiography. Methods:473 fetuses with high risk factors, aged from 20～40 gestational weeks, were examined by echocardiography with Philips ultrasound diagnostic apparatus. 472 fetuses without high risk factors, aged from 20～40 gestational weeks were enrolled as control group. Echocardiographic results were compared with necropsy specimens of the fetal heart after termination of pregnancy and postnatal echocardiography. Results: 72 fetus with pericardial effusion were detected in the high risk group and the detection rate was 12.5%. 13 fetus with pericardial effusion were detected in the control group and the detection rate was 3%. There was significant difference the two groups(x2=39.57,P＜0.05 ＝; 85 patients with PEs were identified from 1005 fetal echocardiograms, including 28 cases with PEs, 44 cases with other malformations; Conclusions: Echocardiography is sensitive in detecting fetal pericardial effusion. Some fetuses with pericardial effusion should have some further examinations. PE size itself is not important, other associated malformations determined prognosis.