胎儿静脉导管频谱诊断胎儿先心病的临床应用  

Clinical Application in Diagnosis of Fetal Congenital Heart Disease by Fetal Venous Catheter Spectrum with Ultrasonic Detection

作　　者：伍文霞 李培轩[1] 熊德庆[1] 申俊玲[1] 李红[1] Wu Wenxia;Li Peixuan;Xiong Deqing;Shen Junling;Li Hong(Panzhihua Maternal and Child Health Care Hospital, Panzhihua, Sichuan 617000, China)

机构地区：[1]攀枝花市妇幼保健院,四川攀枝花617000

出　　处：《大理大学学报》2017年第2期67-69,共3页Journal of Dali University

基　　金：攀枝花市科技局科研基金资助项目(2013CY-S-16-13)

摘　　要：目的:探讨不同孕周胎儿静脉导管频谱分析在诊断胎儿先天性心脏病中的临床应用价值。方法:于孕11~40周对4 060例胎儿检测静脉导管血流测值:心室收缩期峰值流速(ventricular systole peak velocity,PVD);心室舒张期峰值流速(ventricular diastolic peak flow velocity,PVS);心房收缩期最大流速(atrial systolic maximum velocity,PVA);搏动指数(pulsatility index,PI);阻力指数(the resistance index,RI);静脉峰值流速指数(venous peak velocity index,PVIV);S/A。结果:超声检查共检测到静脉导管频谱异常病例26例,诊断为胎儿先天性心脏病,其中16例静脉导管的A波出现反转,10例A波降低或缺失。与尸体解剖或新生儿心脏超声对照诊断完全符合。结论:超声检测胎儿静脉导管的频谱是诊断胎儿先天性心脏病的有效方法。Objective: To evaluate the clinical application of fetal venous catheter in diagnosis of fetal congenital heart disease with different gestational age. Methods: 4 060 cases of fetal venous catheter flow parameters were detected in 11 to 40 gestational weeks,including PVD(ventricular systole peak velocity), PVS(ventricular diastolic peak flow velocity), PVA(atrial systolic maximum velocity), PI(pulsatility index), RI(the resistance index), PVIV(venous peak velocity index)and S/A. Results: 26 cases of abnormal venous frequency spectrum were detected by ultrasonic examination, all of them were diagnosed with the fetal congenital heart disease. A waves of venous catheter were inversed in 16 cases and were missed in 10 case. The diagnosis was completely in accordance with the autopsy or the neonatal cardiac ultrasonic contrast. Conclusion: The ultrasonic detection of fetal venous catheter spectrum was an effective method for diagnosis of fetal congenital heart disease.

关 键 词：胎儿先天性心脏病 超声检查 静脉导管频谱 

分 类 号：R445.1[医药卫生—影像医学与核医学]