【摘要】 目的 探讨彩色多普勒超声心动图对胎儿先天性心脏病(先心病)产前诊断的临床意义。 方法 使用彩色多普勒超声诊断仪随机对520例胎龄24～40周的胎儿，在心脏超声四腔观基础上结合多切面观察胎儿心内结构，以确定胎儿有无先心病。 结果 产前采用心脏超声四腔观加多切面观察胎儿心内结构能够对复杂先心病做出诊断。 结论 彩色多普勒超声心动图因其无创、可重复性为患儿提供了方便、快捷的检查手段，使先心病的早期准确诊断成为可能，尤其是引起新生儿死亡方面主要原因的紫绀型先心病。同时对治疗方案的选择及估计预后的产前诊断有重要的价值。

    关键词 彩色多普勒超声心动图 先心病 产前诊断

    Clinical significance of color Doppler echocardiography in diagnosis of fetal congenital heart disease in prenatal

    Liu Junxiang，Liu Yan，Zhang Minjie，et al.

    Department of Ultrasound，Luohe Central Hospital，Luohe462000.

    【Abstract】 Objective To investigate clinical significance of color Doppler echocardiographic diagnosis in prenatal diagnosis of fetal congenital heart disease(CHD).Methods 520fetuses in24～40weeks were examined by color Doppler echocardiography on four-chamber views and subcostal views to determine CHD.Results It can diag-nose complex CHD in prenatal echocardiographic diagnosis by four-chamber views and subcostal views.Conclusion Color Doppler echocardiography is a convenient and common method for fetal with congenital heart diseases ......