超声心动图观察胎儿室间隔缺损在宫内及出生后1年的转归  

Echocardiographyic follow-up of ventricular septal defect during fetal period and first year of postnatal life

作　　者：王欢[1] 韩冰[1] 蔡爱露[1] 

机构地区：[1]中国医科大学附属盛京医院超声科,辽宁沈阳110004

出　　处：《中国医学影像技术》2013年第3期451-454,共4页Chinese Journal of Medical Imaging Technology

基　　金：盛京自由研究者基金(201209);国家"十一五"科技支撑计划课题项目(2006BAI05A04)

摘　　要：目的应用超声心动图观察胎儿期及产后婴儿期室间隔缺损(VSD)的自然转归。方法收集2006年—2012年于我院诊断为胎儿VSD的胎儿120胎,行二维及彩色多普勒超声心动图检查,记录VSD大小、解剖位置及合并畸形。对其中94胎在孕期进行复查,记录缺损大小变化及闭合情况。对39例出生后存活婴儿VSD情况进行监测,记录出生后1年内缺损大小变化及愈合情况。结果 VSD宫内缩小或闭合2胎,占孕期复查的2.13%(2/94);出生后1年内缺损缩小或闭合6例,占随访新生儿的15.38%(6/39)。结论 VSD在宫内及出生后婴儿期缺损存在自然闭合或缩小的可能,且闭合过程与VSD的大小及位置有关。Objective： To observe the development during gestation and up to 1 year postnatal of fetal ventricular septal defect （VSD） by echocardiography. Methods： Totally 120 fetuses with VSD were included, and two-dimensional and color Doppler ultrasonography were performed. The size, site of VSD and the presence of associated cardiac abnormality were recorded. Of 120 fetuses, 94 fetuses were scheduled for review by ultrasonography in utero, and the size and the closure were documented. Thirty-nine fetuses who reached their first year of postnatal life were included for review. The size and the closure of VSD were documented up to 1 year. Results： Of 94 fetuses, 2.13% （2/94） defects reduced or closed in utero. And of 39 fetuses who reached their first year of postnatal life, 15.38% （6/39） defects reduced or closed. Conclusion： VSD can close or reduce spontaneously during fetal period and infancy, and the process depends upon the size and site of VSD.

关 键 词：胎儿 心脏 超声心动描记术 室间隔缺损 

分 类 号：R540.45[医药卫生—心血管疾病] R714.53[医药卫生—内科学]