目的观察产前彩超在胎儿先天性心脏病诊断中的应用价值。方法胎龄为25~40周的890例胎儿,采用彩超对胎儿胎心率、四腔观、各腔血流情况加以检测,检测完成后,为所有胎儿实施随访,计算彩超确诊率。结果本组890例胎儿经彩超确诊为先天性心脏病者16例,随访期间,18例确诊患有先天性心脏病,彩超确诊率为88.89%(16/18),1例漏诊,1例误诊。结论行产前心脏彩超检查,可以准确检出胎儿是否患有先天性心脏病,以提升此疾病的早期干预率。 Objective To observe the value of prenatal ultrasound in the diagnosis of fetal congenital heart disease. Methods 890 fetuses of gestational age ranging from 25 to 40 weeks were enrolled in this study. Fetal heart rate, four-chamber view and blood flow in each cavity were detected by color Doppler ultrasonography. After the test was completed, all fetuses were followed up and the diagnostic rate of color Doppler ultrasound was calculated. Results 890 cases of fetus were diagnosed as congenital heart disease by color Doppler ultrasonography in 16 cases. During the follow-up period, 18 cases were diagnosed as having congenital heart disease. The diagnosis rate of color Doppler ultrasound was 88.89% (16/18), 1 case missed diagnosis and 1 case misdiagnosed . Conclusion Prenatal echocardiography can accurately detect the fetus with congenital heart disease in order to enhance the early intervention rate of the disease.