title: The Ultrasonic Microsurgical Anatomical Comparative Study of the CHD Fetuses and Their Clinical Significance.
abstract: The aim of our study was to increase the detection rate of fetal cardiac malformations for congenital heart disease (CHD). The ultrasonic and microanatomical methods were combined to study the CHD cases firstly, which could provide the microsurgical anatomical basis to the prenatal ultrasonic diagnosis which was used in suspected CHD and help the sonographer to improve the quality of fetal cardiac diagnosis. We established the ultrasonic standard section of the 175 complex CHD cases and collected the fetal echocardiography image files. The induced/aborted fetuses were fixed by 4% paraformaldehyde and dissected by the ultrasonic microsurgical anatomy. This research could obtain the fetal cardiac anatomic cross-sectional images which was consistent with the ultrasonic standard section and could clearly show the internal structure of the vascular malformation that optimized the ultrasound examination individually. This method could directly display the variation of the CHD fetal heart clearly and comprehensively help us to understand the complex fetal cardiac malformation from the internal structure of the vascular malformation which was consolidated by the anatomical basis of the fetal heart. This study could improve the integrity and accuracy of the prenatal cardiac ultrasound examination tremendously.
authors.affiliation: Chongqing Center for Clinical Laboratory, Chongqing Municipal People's Hospital, Chongqing, China ; Department of Anatomy and Neuroscience Center, College of Basic Medicine, Chongqing Medical University, Chongqing 400016, China.
authors.forename: Xiaosong
authors.initials: X
authors.lastname: Li
authors.affiliation: Ultrasonic Department, Affiliated Second Hospital, Third Military Medical University, Chongqing 400016, China.
authors.forename: Hongmei
authors.initials: H
authors.lastname: Xia
authors.affiliation: Key Laboratory of Molecular Biology on Infection Diseases, Chongqing Medical University, Chongqing 400016, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Wang
authors.affiliation: Key Laboratory of Molecular Biology on Infection Diseases, Chongqing Medical University, Chongqing 400016, China.
authors.forename: Junke
authors.initials: J
authors.lastname: Zhu
authors.affiliation: Department of Anatomy and Neuroscience Center, College of Basic Medicine, Chongqing Medical University, Chongqing 400016, China.
authors.forename: Jianhua
authors.initials: J
authors.lastname: Ran
mesh_terms: D037881:Aborted Fetus / Q000473:pathology / Q000601:surgery; D005260:Female; D005318:Fetal Heart / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005865:Gestational Age; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008866:Microsurgery; D016216:Ultrasonography, Prenatal / Q000379:methods*