超声心动图评估不同程度三尖瓣返流胎儿的临床价值  

Clinical value of echocardiography in evaluating fetuses with different degrees of tricuspid regurgitation

作　　者：高丽君 何生琼 田倩 张帮丽 GAO Lijun;HE Shengqiong;TIAN Qian;ZHANG Bangli(Department of Functional,Liupanshui Maternal and Child Health Hospital,Liupanshui,Guizhou,553001,China)

机构地区：[1]六盘水市妇幼保健院功能科,贵州六盘水553001

出　　处：《当代医学》2022年第25期164-167,共4页Contemporary Medicine

摘　　要：目的探讨超声心动图评估不同程度三尖瓣返流(TR)胎儿的临床价值。方法选取2019年7月至2021年7月于本院进行产检的1075名单胎孕妇作为研究对象,均行胎儿超声心动图产前检查,统计TR胎儿的检出情况,比较不同类型TR胎儿的返流参数[右心房内径/左心房内径(RAD/LAD)、TR血彩彩束面积/右心房面积(TRJA/RAA)及TR峰值流速]。结果1075名单胎孕妇中,共检出TR胎儿100例,检出率为9.30%,其中生理性TR胎儿68例,占比6.33%,病理性TR胎儿32例,占比2.97%;轻度TR胎儿60例,占比5.58%;中度TR胎儿26例,占比2.42%;重度TR胎儿14例,占比1.30%。病理性TR胎儿的RAD/LAD、TRJA/RAA及TR峰值流速均明显大于生理性TR胎儿(P<0.05)。重度TR胎儿与中度TR胎儿的RAD/LAD、TRJA/RAA及TR峰值流速均明显大于轻度TR胎儿,且重度TR胎儿明显大于中度TR胎儿(P<0.05)。结论超声心动图能有效评估TR胎儿的严重程度,具有一定临床诊断价值。Objective To explore the clinical value of echocardiography in evaluating fetuses with different degrees of tricuspid regurgitation(TR).Methods 1075 singleton pregnant women who underwent obstetric examination in our hospital from July 2019 to July 2021 were selected as the research subjects,all underwent prenatal examination by fetal echocardiography,the detection of TR fetuses was counted,and the regurgitation parameters(right atrial diammeter/left atrial diameter[RAD/LAD],TR hematocolor tract area/right atrial area[TRJA/RAA]and TR peak velocity)of different types of TR fetuses were compared.Results Among the 1075 singleton pregnant women,a total of 100 TR fetuses were detected,and the detection rate was 9.30%,of which 68 were physiological TR fetuses,accounting for 6.33%;32 cases of pathological TR fetuses,accounting for 2.97%;60 cases of mild TR fetuses,accounting for 5.58%;26 cases of moderate TR fetuses accounting for 2.42%;14 cases of severe TR,accounting for 1.30%.The RAD/LAD,TRJA/RAA and TR peak velocity of pathological TR fetuses were significantly larger than those of physiological TR fetuses(P<0.05).The RAD/LAD,TRJA/RAA and TR peak velocity of severe TR fetuses and moderate TR fetuses were significantly greater than those of mild TR fetuses,and the severe TR fetuses were significantly larger than the moderate TR fetuses(P<0.05).Conclusion Echocardiography can effectively assess the severity of TR fetuses and has certain clinical diagnostic value.

关 键 词：三尖瓣返流 胎儿 超声心动图 产前检查 

分 类 号：R540.45[医药卫生—心血管疾病] R714.5[医药卫生—内科学]