王连双,刘晓伟,韩玲,张军,李燕娜,陈东,何怡华.二维超声诊断参数在中孕期主动脉缩窄胎儿中的应用[J].中国医学影像技术,2016,32(9):1401~1404
二维超声诊断参数在中孕期主动脉缩窄胎儿中的应用
Application of two-dimensional ultrasound diagnostic parameters on fetal coarctation of aorta in the second trimester of pregnancy
投稿时间:2016-01-07  修订日期:2016-06-06
DOI:10.13929/j.1003-3289.2016.09.022
中文关键词:  胎儿  超声心动描记术  主动脉缩窄  产前诊断
英文关键词:Fetus  Echocardiography  Aortic coarctation  Prenatal diagnosis
基金项目:国家“十二五”科技支撑计划课题项目(2014BAI08B07)、胎儿心脏病母胎医学研究北京市重点实验室项目(BZ0308)。
作者单位E-mail
王连双 首都医科大学附属北京安贞医院超声科, 北京 100029  
刘晓伟 首都医科大学附属北京安贞医院超声科, 北京 100029  
韩玲 首都医科大学附属北京安贞医院小儿心脏科, 北京 100029  
张军 首都医科大学附属北京安贞医院妇产科, 北京 100029  
李燕娜 首都医科大学附属北京安贞医院妇产科, 北京 100029  
陈东 首都医科大学附属北京安贞医院病理科, 北京 100029  
何怡华 首都医科大学附属北京安贞医院超声科, 北京 100029 yihuaheeho@163.com 
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中文摘要:
      目的 探讨二维超声诊断胎儿主动脉缩窄(COA)的直接和间接指标的应用价值。方法 回顾性分析经胎儿超声心动图检查诊断、并经出生后或尸体检查证实为COA的中孕期胎儿18胎。以主动脉峡部Z分数(Z-AoI)<-2、主动脉峡部内径(AoId)≤2.0 mm、主肺动脉内径/升主动脉内径(MPAd/AAOd)≥1.6、二尖瓣环横径/三尖瓣环横径(MVd/TVd)<0.6为诊断标准,分别分析其诊断符合率,同时测量主动脉瓣环内径(AOd),计算中孕期COA胎儿AOd的参考范围。结果 在18胎COA胎儿中,Z-AoI、AoId、MPAd/AAOd、MVd/TVd的诊断符合率分别为94.44%(17/18)、61.11%(11/18)、66.67%(12/18)、44.44%(8/18),差异有统计学意义(P<0.05)。COA胎儿AOd的参考范围为2.60~2.98 mm。结论 Z-AoI诊断COA的符合率最高;中孕期COA胎儿AOd为2.60~2.98 mm。
英文摘要:
      Objective To investigate and verify the diagnostic accordance rate of the currently commonly used direct and indirect indicators of two-dimensional ultrasound on the fetal coarctation of the aorta (COA). Methods The echocardiography data of 18 cases of fetal aorta coarction in the second trimester of pregnancy, confirmed by after birth or autopsy, were analysis retrospectively. Aortic isthmus Z-score (Z-AoI) <-2, aortic isthmus diameter (AoId) ≤2.0 mm, the main pulmonary artery diameter/ascending aorta diameter (MPAd/AAOd) ≥1.6, mitral valve annulus diameter/tricuspid valve annulus transverse diameter (MVd/TVd) <0.6 as the individual diagnosis indicator of COA, the diagnosis accordance rate was calculated. The aortic valve annulus diameter (AOd) was measured, and the reference range of AOd on fetal coarctation of aorta in the second trimester of pregnancy was calculated. Results Among 18 COA fetuses, the diagnosis accordance rate of Z-AoI, AoId, MPAd/AAOd, MVd/TVd as individual diagnosis indicator was 94.44% (17/18), 61.11% (11/18), 66.67% (12/18) and 44.44% (8/18) respectively. The difference was statistically significant (P<0.05). The reference range of AOd in fetal COA was 2.60—2.98 mm. Conclusion The diagnosis accordance rate of Z-AoI is highest in all the 4 common two-dimensional ultrasound indicators. AOd of COA fetus in the second trimester of pregnancy is 2.60—2.98 mm.
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