产前频谱多普勒超声检查肺静脉对胎儿完全型肺静脉异位引流的诊断价值  

Study on the diagnostic value of prenatal spectral Doppler ultrasound examination of pulmonary veins for fetal total anomalous pulmonary venous drainage

作　　者：邢菊 代永志 李海鹏 许新 逯素艳 王新彦 邵晓林 XING Ju;DAI Yongzhi;LI Haipeng;XU Xin;LU Suyan;WANG Xinyan;SHAO Xiaolin(Department of Ultrasound,Cangzhou Maternal and Child Health Hospital,Cangzhou 061001,China;Reproductive Department,Cangzhou Maternal and Child Health Hospital,Cangzhou 061001,China;Department of Premarital Examination,Cangzhou Maternal and Child Health Hospital,Cangzhou 061001,China;Prenatal Diagnosis Center,Cangzhou Maternal and Child Health Hospital,Cangzhou 061001,China;Department of Ultrasound,Shijiazhuang Fourth Hospital,Shijiazhuang 050011,China)

机构地区：[1]河北省沧州市妇幼保健院超声科,河北沧州061001 [2]河北省沧州市妇幼保健院生殖科,河北沧州061001 [3]河北省沧州市妇幼保健院孕产群体保健科,河北沧州061001 [4]河北省沧州市妇幼保健院产前诊断中心,河北沧州061001 [5]河北省石家庄市第四医院超声科,河北石家庄050011

出　　处：《医学影像学杂志》2024年第10期105-107,111,共4页Journal of Medical Imaging

基　　金：河北省医学科学研究重点课题(编号:2019436)。

摘　　要：目的探讨产前频谱多普勒超声检查诊断胎儿完全型肺静脉异位引流(TAPVC)的价值。方法选取超声科进行胎儿结构筛查的26例孕妇,行常规产前超声与频谱多普勒超声检查,分析影像学特征,产后复查超声心动图。结果以产前超声心动图检查结果为金标准,产前频谱多普勒超声检查诊断26例为TAPVC,诊断率是100%,心上型、心内型、心下型分别为14例、7例、5例;常规超声诊断率是73.1%,分别为11例、7例、1例,两种检查方式差异有统计学意义(P<0.05)。26例孕妇中选择继续妊娠4例,胎儿出生后复查与产前频谱多普勒超声诊断结果一致,其余均终止妊娠,5例经家属同意行解剖尸检,和产前频谱多普勒超声诊断结果一致。结论产前频谱多普勒超声诊断TAPVC具有良好的应用价值,具有较高的诊断率。Objective To analyze the value of prenatal spectral Doppler ultrasound in diagnosing the fetus with total anomalous pulmonary venous drainage(TAPVC).Methods 26 pregnant women who went to the ultrasound department of our hospital for fetal structure screening were selected for retrospective analysis.Those patients underwent routine prenatal ultrasound and spectrum Doppler ultrasound examination.The image characteristics at the same time were analyzed and echocardiography after delivery was reviewed.Results According to the results of prenatal echocardiography,26 cases were diagnosed as TAPVC by prenatal spectrum Doppler ultrasound,and the diagnostic rate was 100%.There were 14 cases of supracardiac type,7 cases of intracardiac type and 5 cases of subcardiac type respectively.The diagnostic rate of conventional ultrasound was 73.1%,with 11 cases,7 cases and 1 case respectively.There was a difference between the two methods(P<0.05).Of the 26 pregnant women,4 were chosen to continue their pregnancy.The fetal reexamination after birth was consistent with the prenatal spectrum Doppler ultrasound diagnosis,and the rest were terminated.Five cases were willing to perform autopsy with the consent of their families,which was consistent with the prenatal spectrum Doppler ultrasound diagnosis.Conclusion Prenatal spectrum Doppler ultrasound has good application value and high diagnostic rate,which can provide reliable basis for clinical diagnosis and evaluation of fetal condition.

关 键 词：超声检查 胎儿 完全型肺静脉异位引流 

分 类 号：R714.5[医药卫生—妇产科学] R445.1[医药卫生—临床医学]