Accuracy of prenatal diagnosis of congenital heart defects

被引：37

作者：

Berghella, V ^{[1
]}

Pagotto, L ^{[1
]}

Kaufman, M ^{[1
]}

Huhta, JC ^{[1
]}

Wapner, RJ ^{[1
]}

机构：

[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Obstet & Gynecol, Div Maternal Fetal Med, Philadelphia, PA 19107 USA

来源：

FETAL DIAGNOSIS AND THERAPY | 2001年 / 16卷 / 06期

关键词：

echocardiography; congenital heart defects; fetal heart;

D O I：

10.1159/000053949

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives: (1) To evaluate the detection and accuracy of fetal echocardiography for congenital heart defects (CHD). (2) To compare the detection and accuracy of a team of maternal fetal medicine specialists and radiologists (MFM/R) with those of perinatal cardiologists (PC). Methods: All fetal echocardiograms performed from 1/91 to 6/95 were reviewed retrospectively. CHD diagnoses made prenatally were compared with postnatally-confirmed diagnoses. Results: 106 heat defects were correctly detected prenatally. There were 10 incorrect diagnoses, 6 false-negatives and 4 false-positives. Overall detection rate (sensitivity) was 95%, while overall accuracy was 87%. Detection rate for MFM/R and PC were 91 and 97%, respectively (p = 0.4). Accuracy was 74% for MFM/R and 92% for PC (p = 0.02). Conclusions: CHD can be identified reliably by prenatal echocardiography. The involvement of a PC in the prenatal diagnosis of these defects may improve diagnostic accuracy. Copyright (C) 2001 S. Karger AG, Basel.

引用

页码：407 / 412

页数：6

共 19 条

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