胎儿心室强回声灶的临床意义及超声诊断价值  

Echocardiographic detection and clinical significance of echogenic intracardiac foci in fetuses

作　　者：李雪梅 冯新恒[2] 李敬府 陈宝霞[2] 李媛媛 

机构地区：[1]航空总医院超声科,北京市100012 [2]北京大学附属第三医院心内科

出　　处：《中国心血管病研究》2018年第1期39-41,共3页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨胎儿超声心动图检测胎儿心内强回声灶（EIF）的临床意义及超声诊断价值。方法分析2015年1月至2016年1月323例孕中期（20-26周）胎儿发现的心室内强回声灶的超声特点，并在孕晚期及胎儿出生后进行超声心动图随访。结果323例胎儿中302例孕晚期（35～38周）心室内的强回声灶回声减低或消失，21例胎儿出生后心室内强回声灶仍然存在，6个月随访消失。结论胎儿心室内强回声灶多为暂时性的超声表现，预后良好。Objective To investigate the clinical significance of echogenic intracardiac foci （ELF） in fe- tuses using fetal echocardiography. Methods Echocardiography was performed in the mid-tri-mester of pregnancy. When the ElF that was found in fetuses, the position, size, number and the complication of cardiac abnormalities were recorded simultaneously. All the fetuses were followed up. Results 323 cases of fetuses with EIF were found. 265 cases of them were found in the left ventricle. 47 cases of them were found in the right ventricle. 11 cases of them were found in both ventricles. All of the cases had no fetal congenital heart diseases, fetal arrhythmia or other fetal malformation. Fetal EIF disappeared or weakened in resonance in the following-up study. Conclusion Echocar- diography reveal that most of the EIT is temporary. The presence of ElF in fetuses cannot be used as an indication for abortion

关 键 词：超声心动描记术 心内强回声灶 胎儿 

分 类 号：R540.45[医药卫生—心血管疾病]