22588例胎儿超声心动图检查分析

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1、授予单位代码10089学号或申请号20122113K^(E^ASHebeiMedicalUniversity硕士学位论文科学学位22588例胎儿超声心动图检查分析研究生：李斌可导师：李路明教授专业：影像医学与核医学二级学院：第二医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公幵和使用。凡发表与学位论文主要内容相关的论文，第一署名为单位河北医科大学，试

2、验材料、原始数据、申报的专利等知识产权均归河北医科大学所有。否则，承担相应法律责任。研究生签名导师签章.二级学院领导盖章：河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人己经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：导师签章目录中文摘要···········································································

3、······1英文摘要·················································································4英文缩写·················································································8研究论文22588例胎儿超声心动图检查分析前言·····························································

4、····················9材料与方法········································································9结果···············································································11附图···············································································

5、13附表···············································································14讨论···············································································17结论···············································································20参考文献········

6、·································································21综述先天性心脏病病因及危险因素研究进展······························24致谢·····················································································39个人简历····················································

7、···························40中文摘要22588例胎儿超声心动图检查分析摘要目的：了解石家庄市及周边地区胎儿心脏畸形的发病情况，总结其类型及构成；探讨孕妇年龄、受孕季节与胎儿心脏畸形发生的相关性。方法：将自2011年1月1日至2014年12月31日于河北医科大学第二医院进行产前胎儿心脏超声筛查的孕妇作为研究对象进行调查，共22588例（所有研究对象均为单胎妊娠），孕龄17~51岁，妊娠17~40周。如有某孕妇行多次胎儿超声心动图检查者取末次超声检查结果。排除一些个别超声图像质量条件极差，无法正

8、常诊断者。所有胎儿超声心动图均由经验丰富的主治医师及主治医师以上级别的医师以统一方法、标准和测量参数进行超声检查，对疑难及诊断为复杂心脏畸形的病例均再由至少两名主任医师共同行进一步检查。使用都配有M型超声、B型超声、脉冲型频谱多普勒、连续型频谱多普勒及彩色多普勒血流显像5种基本功能的GE-VolusonE8、GE-V