Медицинская литература. Новинки

 

 

 

 

 

 

К вопросу об эхокардиографии плода

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Врожденные пороки сердца являются наиболее пропускаемыми врожденными аномалиями развития плода и частой причиной неонатальной и детской смертности. На сегодняшний день существует ряд практических руководств по эхографическому исследованию сердца плода, разработанных специалистами разного профиля в разных странах мира. В статье рассматриваются наиболее дискутабельные вопросы пренатальной диагностики – вопросы показаний для расширенного ультразвукового исследования сердца плода (1), сроки проведения эхокардиографии плода и информативность ультразвукового исследования в разные сроки беременности (2), целесообразность и преимущества пренатальной диагностики врожденных пороков сердца в целом (3) и непосредственно сам протокол исследования сердца плода (какие сечения сердца плода являются диагностически информативными и обязательными при сканировании) (4).

Ключевые слова:
пренатальная диагностика, эхокардиография плода, скрининг, практические руководства, врожденные пороки сердца.

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A Few Questions Regarding to the Fetal Echocardiography

Congenital heart diseases are the most missed congenital malformations in prenatal life and in most cases are the reason of neonatal and child death. There are a number of practical guidelines established by different groups of specialists in different countries. There are still no clear answers to the following questions: what are the indications for extended fetal cardiac scan (1), at what gestational age fetal cardiac scan should be made and why (2), what are the advantages of the diagnosis of congenital heart diseases made prenatally (3) and what anatomical cardiac planes should be acquired during fetal echocardiography (4).

Keywords:
prenatal diagnosis, fetal echocardiography, screening, practical guidelines, and congenital heart diseases.