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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Foetal Echocardiography: A Novel Method for Detecting Congenital Heart Disease
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Foetal Echocardiography: A Novel Method for Detecting Congenital Heart Disease

机译：胎儿超声心动图：一种检测先天性心脏病的新方法

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Management and outcomes of prenatal and postnatal cardiac diseases have been affected significantly by prenatal detection of foetal Congenital Heart Disease (CHD). Foetal echocardiography plays an important role in this diagnosis.Aim: To estimate the efficiency of echocardiography in detecting type and frequency of foetal CHD in a group of pregnant women regardless of presenting risk factors.Materials and Methods: In this cross-sectional study, 263 pregnant women undergoing foetal echocardiography with a gestational age of 20 to 40 weeks referred to the Echocardiography Unit at Baghdad Teaching Hospital, Iraq from April 2016 to June 2018 were included. The women were divided into high, low and no risk groups as per their referral for foetal echocardiography which is in accordance to the American Heart Association. Foetal 2D and Doppler echocardiography was done. Postnatal echocardiography was performed in cases diagnosed with foetal CHD.Results: A total of 263 pregnant women were included in the study. Fourteen cases of CHD were diagnosed based on abnormal foetal echocardiography. However, only nine of the 14 cases of CHD occurred in high risk mother while the remaining five occurred in mothers with no risk for developing foetal CHD. Twenty-two cardiac abnormalities were detected in those 14 fetuses in which eight fetuses were categorised as having a simple cardiac abnormality and six cases with complex cardiac abnormalities.Complete agreement between prenatal and postnatal diagnosis of CHD was observed in 80% of cases.Conclusion: From the present study, it can be concluded that foetal echocardiography should be recommended to be involved as a part of antenatal screening for all pregnant women regardless of the risk factors among the mother.
机译：胎儿先天性心脏病（CHD）的产前检测对产前和产后心脏疾病的管理和结局产生了重大影响。胎儿超声心动图在该诊断中起着重要作用。目的：评估超声心动图在检测一组孕妇中胎儿冠心病的类型和频率方面的有效性，而不论存在危险因素的原因。材料与方法：这项横断面研究包括2016年4月至2018年6月在伊拉克巴格达教学医院接受超声心动图检查的263名胎龄为20至40周的胎儿超声心动图检查的孕妇。根据美国心脏协会的要求，将这些妇女分为高危人群，低危人群和无风险人群。完成了胎儿二维和多普勒超声心动图检查。在诊断出胎儿冠心病的病例中进行了产后超声心动图检查。结果：该研究共纳入263名孕妇。根据胎儿超声心动图异常诊断出14例冠心病。但是，在14例冠心病的病例中，只有9例发生在高危母亲中，其余5例发生在没有发展胎儿冠心病风险的母亲中。在这14例胎儿中检出22例心脏异常，其中8例胎儿归类为简单心脏异常，6例患有复杂心脏异常.80％的病例在CHD的产前和产后诊断中完全一致。结论：从本研究中可以得出结论，无论母亲的危险因素如何，均应建议将胎儿超声心动图作为所有孕妇产前筛查的一部分。

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