彩色多普勒血流成像预测孕晚期胎儿宫内安危应用进展  

Progress in the application of color doppler blood flow imaging for predicting fetal safety of women during the third trimester of pregnancy

作　　者：段彤彤 李晓琴[1] 范光磊[1] 施燕芸[1] DUAN Tongtong;LI Xiaoqin;FAN Guanglei;SHI Yanyun(The Second People’s Hospital of Changzhou,Jiangsu Province,213000)

机构地区：[1]江苏省常州市第二人民医院

出　　处：《中国计划生育学杂志》2020年第2期303-306,共4页Chinese Journal of Family Planning

摘　　要：目的:早期识别威胁胎儿宫内安危的风险可以减少胎儿疾病的发生。近年来研究发现,子宫动脉(UtA)、大脑中动脉(MCA)以及静脉导管(DV)作为妊娠期重要的母体及胎儿血管,其彩色多普勒血流成像(CDFI)中频谱或血流动力学参数变化可预测胎儿疾病,如胎儿生长受限(FGR)、胎儿贫血、胎儿先天性心脏病(CHD)等,这为临床评估胎儿宫内生长发育水平提供了新的诊疗思路。本文对如何应用上述三条血管的CDFI预测胎儿宫内安危进行综述。Early identification of the risk of intrauterine fetus during the third trimester of pregnancy can reduce fetal morbidity.Recent studies have found that uterine artery(UtA),middle cerebral artery(MCA)and ductus venosus(DV)are vital maternal or fetal blood vessels,and their changes on spectral or hemodynamic parameters of color doppler flow imaging(CDFI)can be used to predict fetal disease,such as fetal growth retardation(FGR),fetal anemia,fetal congenital heart disease(CHD),and so on,which provide the new clinical idea for evaluating uterine fetal growth and development.This review focuses on how to predict intrauterine fetal safety and dangerous based on CDFI of UtA,MCA and DV.

关 键 词：孕晚期 胎儿宫内安危 彩色多普勒血流成像 子宫动脉 大脑中动脉 静脉导管 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]