胎儿超声三血管气管观诊断胎儿心脏大血管异常的价值  

Role of three vessels and trachea view in ultrasonic diagnosis of fetal heart disease and great artery abnormality

作　　者：吕慧玲[1] 于进[1] 吴晓峰[1] 王雪梅[1] 纪向虹[1] 康维强[2] 

机构地区：[1]青岛市市立医院东院产科,266071 [2]青岛市市立医院东院超声科,266071

出　　处：《中华超声影像学杂志》2012年第8期653-656,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨胎儿三血管气管观对胎儿心脏大血管发育异常的诊断价值。方法分析产前筛查为胎儿大血管异常的孕妇39例，评价分析其三血管气管观的图像特征及意义。结果经尸检证实的39例大血管发育异常中，永存动脉干（7例）、大动脉转位（7例）、主动脉缩窄（5例）、法洛四联症（4例）、肺动脉狭窄（3例）、左心发育不良综合征、永存左上腔静脉、肺动脉瓣闭锁合并单心室（各2例）、三尖瓣下移畸形伴肺动脉狭窄、主动脉弓离断、右心发育不良、右位主动脉弓、动脉导管狭窄（各1例）均有不同程度三血管观异常表现。右室双出口（2例）中，仅在1例合并肺动脉狭窄时出现肺动脉内径减小。按照胎儿大血管发育异常中超声三血管气管观表现进行分类，分为大血管排列异常（10例）、大血管内径异常（21例）、大血管数目异常（9例）及大血管内血流方向异常（4例）4类。结论三血管气管观是四腔观等的有益补充，在胎儿先天性心脏病的产前超声诊断中具有重要价值。Objective To evaluate the role of three vessels and trachea view （3VT） in diagnosis of fetal heart disease and great artery abnormality. Methods 39 pregnant women undergoing fetal ultrasound scan and diagnosed with great artery abnormality were enrolled in this study. Then the image characteristics and significance of 3VT in these 39 cases were analyzed and evaluated. Results In these 39 cases proved by autopsy,persistent truneus arteriosus （7 cases）, transposition of the great arteries （7 cases）, coarctation of the aorta（5 cases）, tetralogy of Fallot （4 cases）, pulmonary stenosis （3 cases）, hypoplastic left ventricle syndrome （2 cases）, persistent left superior vena cava （2 cases）, pulmonary valve stenosis with single ventricle（2 cases）, Ehstein anomaly with pulmonary stenosis （1 case）, interruption of the aortic arch（1 case）, hypoplastic right ventricle（1 case）, dextroaortic arch （ 1 case）, and ductus arteriosus stenosis（1 case） were detected. All of them had anomalies performance on 3VT. While in the 2 cases of double outlet right ventricle, only one concurrenting with pulmonary artery stenosis showed reduced inner diameter of pulmonary artery on 3VT. According to the performance of 3VT in great artery abnormality, it could be divided into 4 categories： abnormal location,abnormal ratio,abnormal amount and abnormal blood direction of great artery. Conclusions 3VT is a useful supplement to the 4-chamber view,and has significant value in diagnosis of fetal heart and great arteries abnormities.

关 键 词：超声检查 产前 血管发育不良 三血管气管观 

分 类 号：R445.1[医药卫生—影像医学与核医学]