CAJ | 학술논문

目的探讨胎儿心室强回声点（EIF）对胎儿心脏解剖结构的影响。方法应用二维及胎儿超声心动图超声仪，对我院356例中严密跟踪观察EIF消失过程资料完整的238例的EIF胎儿进行分析探讨，并选择12例胎儿先天性心脏畸形并发EIF的胎儿心脏解剖结构情况做对照。结果胎儿心室强回声点（EIF）检出率为1.905％，.单纯EIF胎儿未见胎儿心脏解剖结构异常及与唐氏综合征相关表现；胎儿EIF的所在的心室位置，左心室214例，右心室9例，左、右心室均可见15例；单发者223例占93.7％(223/238)，多发15例占6.3％(15/238)；本组资料显示胎儿EIF 99.58％(237/238)于分娩前消失。结论胎儿EIF发生在左心室明显多于右心室，单纯性胎儿EIF未见心脏解剖结构异常及血液动力学的改变，不主张对胎儿EIF的孕妇行羊膜腔穿刺做染色体检查。
목적탐토태인심실강회성점（EIF）대태인심장해부결구적영향。방법응용이유급태인초성심동도초성의，대아원356례중엄밀근종관찰EIF소실과정자료완정적238례적EIF태인진행분석탐토，병선택12례태인선천성심장기형병발EIF적태인심장해부결구정황주대조。결과태인심실강회성점（EIF）검출솔위1.905％，.단순EIF태인미견태인심장해부결구이상급여당씨종합정상관표현；태인EIF적소재적심실위치，좌심실214례，우심실9례，좌、우심실균가견15례；단발자223례점93.7％(223/238)，다발15례점6.3％(15/238)；본조자료현시태인EIF 99.58％(237/238)우분면전소실。결론태인EIF발생재좌심실명현다우우심실，단순성태인EIF미견심장해부결구이상급혈액동역학적개변，불주장대태인EIF적잉부행양막강천자주염색체검사。
Objective To explore the influence of fetal echogenic intracardiac focus (EIF) on fetal Cardiac anatomy. Method and application of two-dimensional ultrasound fetal heartbeat of ultrasound, 356 cases in our hospital in EIF vanishing process closely tracking observation of 238 cases with complete data EIF fetus are discussed, and 12 cases of congenital fetal heart malformation complicated with EIF in fetal cardiac anatomy structure of control. Outcome of fetal echogenic intracardiac point ( EIF ) detection rate was 1.905%, no fetal heart. Pure EIF fetal anatomic abnormalities and with Down syndrome related to the performance of fetal EIF; the ventricular location, left ventricle in 214 cases, right ventricle in 9 cases, left, right ventricle were found in 15 cases; 223 cases were solitary accounted for 93.7% ( 223\/238 ), 15 cases were multiple accounted for 6.3% ( 15\/238 ); the data showed that fetal EIF 99.58% ( 237\/238 ) to disappear before delivery.Conclusion Fetal EIF occurs in left ventricle more often than in right ventricle. In solitary fetal EIF cases, fetal Cardiac anatomy abnormal and hemodynamic change was not observed. Amniotic cavity puncture chromosome examination is not suggested for pregnant women with fetal EIF.