孕11～14周胎儿三尖瓣频谱测量与分析
잉11～14주태인삼첨판빈보측량여분석
Measurement and assessment of fetal tricuspid waveform in first-trimester
  • 万方数据
    中华超声影像学杂志 중화초성영상학잡지
    CHINESE JOURNAL OF ULTRASONOGRAPHY
    2011年 7期 602-604 ,共3页

    袁岩%孟华%姜玉新%戴晴%徐钟慧%杨萌%欧阳云淑%张一休%鲁嘉%李鹏%楼海亚

    원암%맹화%강옥신%대청%서종혜%양맹%구양운숙%장일휴%로가%리붕%루해아

    超声检查,产前%三尖瓣闭锁不全 超聲檢查,產前%三尖瓣閉鎖不全
    초성검사,산전%삼첨판폐쇄불전
    Ultrasonography,prenatal%Fetus%Tricuspid valve insufficiency
    目的 探讨胎儿早孕期检测三尖瓣频谱的临床价值和方法.方法 对孕11～14周胎儿进行超声检查,测量头臀长、颈部透明层、三尖瓣频谱等,并观察胎儿头颅、躯干、四肢等结构以发现严重胎儿畸形.对所有胎儿进行孕期超声检查、唐氏综合征筛查,可疑者进一步行染色体检查,并随访至出生后6个月.结果 共检查早孕期胎儿262例,其中249例成功获得三尖瓣频谱,检查成功率95%.发现三尖瓣反流胎儿9例,其中2例为21-三体,3例为严重心脏结构异常,1例合并脐疝,2例胎死宫内,1例染色体正常者随访至生后8个月未发现异常.结论 早孕期胎儿三尖瓣频谱测量简易可行,三尖瓣反流是胎儿染色体异常、严重心脏结构异常及不良预后的有效预测指标.
    목적 탐토태인조잉기검측삼첨판빈보적림상개치화방법.방법 대잉11～14주태인진행초성검사,측량두둔장、경부투명층、삼첨판빈보등,병관찰태인두로、구간、사지등결구이발현엄중태인기형.대소유태인진행잉기초성검사、당씨종합정사사,가의자진일보행염색체검사,병수방지출생후6개월.결과 공검사조잉기태인262례,기중249례성공획득삼첨판빈보,검사성공솔95%.발현삼첨판반류태인9례,기중2례위21-삼체,3례위엄중심장결구이상,1례합병제산,2례태사궁내,1례염색체정상자수방지생후8개월미발현이상.결론 조잉기태인삼첨판빈보측량간역가행,삼첨판반류시태인염색체이상、엄중심장결구이상급불량예후적유효예측지표.
    Objective To investigate the clinical value and method of fetal tricuspid regurgitation in the first trimester.Methods Fetuses were performed ultrasonography at 11 to 14 gestational weeks,measuring crown rump length,nuchal translucency and acquiring tricuspid waveform.All the fetuses were followed up until 6 months after birth,including prenatal ultrasound examination,maternal serum biochemistry and karyotype test.Results A total of 262 fetuses were performed ultrasonography in the first trimester,the tricuspid waveform were acquired successfully in 249 (95%).Nine cases with tricuspid regurgitation were detected,including 3 cases of trisomy 21,3 cases with complex heart defects,one case with omphalocele,two resulted in intrauterine death and one case of normal chromosome and phenotype.Conclusions Tricuspid waveform is relatively easier to examine and assessment.Tricuspid regurgitation is a useful first-trimester ultrasound marker for the detection of chromosomal abnormalities,cardiac defects,and adverse pregnancy outcome.
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