CAJ | 학술논문

目的将临床确诊并引产的复杂畸形胎儿心脏制作成与心脏超声切面观一致的解剖教学标本,并应用于超声心动图教学.方法分别对10例引产胎儿心脏按照不同超声切面观进行切割,与超声图像对照.结果获得5例单心室(2例伴主动脉弓离断)、4例右室双出口并肺动脉发育不良、1例左室发育不良伴主动脉重度缩窄等复杂畸形胎儿心脏对照超声的解剖标本.心尖长轴观、三血管切面以及主动脉弓长轴观为超声诊断与教学的典型切面.结论通过对复杂畸形胎儿心脏超声解剖标本的研究与制作,有助于超声专业初学者熟练掌握复杂畸形胎儿心脏各个部位解剖结构,形象化理解超声影像特点,有利于进一步提高复杂畸形胎儿心脏超声检查的准确性.
목적 장림상학진병인산적복잡기형태인심장제작성여심장초성절면관일치적해부교학표본,병응용우초성심동도교학.방법 분별대10례인산태인심장안조불동초성절면관진행절할,여초성도상대조.결과 획득5례단심실(2례반주동맥궁리단)、4례우실쌍출구병폐동맥발육불량、1례좌실발육불량반주동맥중도축착등복잡기형태인심장대조초성적해부표본.심첨장축관、삼혈관절면이급주동맥궁장축관위초성진단여교학적전형절면.결론 통과대복잡기형태인심장초성해부표본적연구여제작,유조우초성전업초학자숙련장악복잡기형태인심장각개부위해부결구,형상화리해초성영상특점,유리우진일보제고복잡기형태인심장초성검사적준학성.
Objective To make ultrasound anatomy teaching samples of odynopoeia fetus heart with complex abnormity consistent with echocardiographic view,and utilize them in echo teaching.Methods Ten odynopoeia foetus hearts were cutted comparing to different echocardiographic imaging respectively.Results Dissections of fetus heart were obtained including 5 cases of single cardiac ventricle(2 case with interruption of aortic arch),4 cases of double outlet of right ventricular,and 1 case of hypoplastic left heart syndrome with serious coarctation of the aorta.The apical long axis view,the three blood vessel view,as well as the long axis view of the aortic arch were typical views of ultrasound diagnosis and teaching.Conclusions It is profit to raise and accurate rate of fetus echocardiography diagnosis by studying dissection of fetus heart anatomic structure with complex abnormity,which would make ultrasound imaging visualization.