王慧芳,熊奕,吴瑛,佘志红,梁海南,林琳华,任景慧,王晓玫.胎儿三血管气管平面在胎儿心室发育不良诊断中的价值[J].中国医学影像技术,2005,21(11):1738~1740 |
胎儿三血管气管平面在胎儿心室发育不良诊断中的价值 |
Role of three vessels and trachea view in diagnosis of fetal ventricular hypoplasia |
投稿时间:2005-06-22 修订日期:2005-08-31 |
DOI: |
中文关键词: 胎儿 先天性心脏病 心室发育不良 超声心动描记术 |
英文关键词:Fetus Congenital heart disease Ventricular hypoplasia Echocardiography |
基金项目:本课题受深圳市科技计划项目基金资助(200204036)。 |
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中文摘要: |
目的 探讨胎儿三血管气管平面(3V+T切面)在胎儿心室发育不良诊断中的价值。方法 回顾性分析2003年4月-2005年1月在我院产前诊断门诊接受产前胎儿心脏超声筛查孕妇1212例,年龄20~44岁,孕周为16~38周。取胎儿心脏检查的常规6个标准切面,然后在四腔心切面的基础上缓慢平行向胎儿头侧移动探头即可显示胎儿上纵隔横切面,即三血管气管平面,再叠加彩色多普勒血流显像,观察各房室及大动脉血流分布和血流方向。结果 1212例胎儿超声心动图均获得满意的3V+T切面,共 |
英文摘要: |
Objective To evaluate the value of three vessels and trachea (3V+ T view) view in diagnosing fetal ventricular hypoplasia. Methods One thousand two hundred and twelve pregnant women (20 to 44 years old) undergoing fetal ultrasound screening from April 2003 to January 2005 were enrolled in this retrospective study. The gestational week of these women ranged from 16 to 38 weeks. Six standard views of fetal heart and a 3V+T view were obtained to observe the distribution and direction of blood flow in the atriums, ventricles and big vessels. Results A satisfactory 3V+T view was obtained in each case. Of all the 1212 cases, 47 cases (age from 23 to 42 years, 20-39 gestational weeks) were diagnosed as fetal heart structural abnormity, including 11 fetal ventricular hypoplasia. Ten of these 11 cases had induced labor (termination of pregnancy) and the other one ended up in fetal death. Half of the 10 cases underwent autopsy after induction whose Results were coherent with the ultrasonic diagnosis. Conclusion Three vessels and trachea view is a simple and reliable method for screening fetal cardiology anomalies and may become another important view in diagnosing fetal ventricular hypoplasia. |
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