Comparison between Fetal Echocardiography and Neonatal Echocardiography in Diagnosing Congenital Heart Diseases
Comparison between Fetal Echocardiography and Neonatal Echocardiography in Diagnosing Congenital Heart Diseases
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胎儿超声心动图与新生儿超声心动图诊断先天性心脏病的比较
DOI：
10.12816/ejhm.2019.39167
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Mohamed Hesham H. Ezzt
中科院分区：
文献类型：
--
作者：
A. Khorshid;M. Al;Ahmed Al;H. A. E. Gaber;Ahmed A. Elhewala;Mohamed Hesham H. Ezzt
背景：先天性心脏病是最常见的先天性畸形。它是染色体异常的6倍，是神经管缺陷的4倍。先天性心脏病约占因先天畸形导致的围产儿死亡的40%，占出生后第一个月死亡的20%以上。目的：比较胎儿和新生儿超声心动图诊断先天性心脏病的准确性。患者和方法：这是一项逆行对比研究，包括接受超声心动图检查的新生儿，并将结果与产前护理历史记录中提供的胎儿超声心动图结果进行比较。对60例孕妇进行胎儿超声心动图检查。研究中纳入的胎儿为60例。于2016年7月至2018年3月在扎加齐格大学医院儿科新生儿超声心动图单元进行。结果：60例中胎儿超声心动图检出24例冠心病患者8例(33.3%)，新生儿超声心动图检出24例冠心病患者24例(100%)。结论：产前超声心动图可准确诊断胎儿心血管疾病，无论是功能性疾病还是结构性疾病。
Backgound: Congenital heart defects (CHD) are the most common congenital malformations. It is six times more common than chromosomal abnormalities and four times more common than neural tube defects. Congenital heart disease accounts for approximately 40% of perinatal deaths due to congenital anomalies and more than 20% of deaths in the first month. Objective: This study aimed to compare the accuracy between fetal and neonatal echocardiography in diagnosing congenital heart disease. Patient and methods: This is a retrograde comparative study that included neonates who underwent echocardiography examination and the results were compared with fetal echocardiographic results available in historical records from prenatal care. 60 pregnant women were referred for fetal echocardiography. The included fetuses in the study were 60 fetuses. It was conducted at the Neonatal Echocardiography Unit, Pediatric Department at Zagazig University Hospitals, from July 2016 to March 2018. Results: Our study showed that out of the 60 cases, fetal echocardiography detected 8 cases out of 24 cases diagnosed with CHD (33.3%), while Neonatal echocardiography detected 24 cases out of 24 cases diagnosed with CHD (100%). Conclusion: The present study demonstrated that fetal cardiovascular diseases, either functional or structural, can be accurately identified by prenatal echocardiography.