当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
1期
42-43
,共2页
彩色多普勒%胎儿%法洛四联症
綵色多普勒%胎兒%法洛四聯癥
채색다보륵%태인%법락사련증
Color Doppler ultrasonography%Fetal%Tetralogy of Fallot
目的：观察分析彩色多普勒在诊断胎儿法洛四联症中的应用，提高胎儿产前诊断率。方法回顾性分析31例经彩色多普勒超声诊断确诊为法洛四联症胎儿的生理特点及超声图像。结果31例胎儿中，经彩色多普勒检查引产后尸检诊断确诊为法洛四联症共30例，漏诊1例，超声诊断确诊率达到96.8%。胎儿法洛四联症超声图像特征主要为主动脉骑跨、室间隔缺损、肺动脉狭窄以及右室壁无明显增厚。结论法洛四联症胎儿的超声图像具有十分明显的特征，彩色多普勒是诊断该病的有效方法，对其有着重要的临床意义，值得广泛推广。
目的：觀察分析綵色多普勒在診斷胎兒法洛四聯癥中的應用，提高胎兒產前診斷率。方法迴顧性分析31例經綵色多普勒超聲診斷確診為法洛四聯癥胎兒的生理特點及超聲圖像。結果31例胎兒中，經綵色多普勒檢查引產後尸檢診斷確診為法洛四聯癥共30例，漏診1例，超聲診斷確診率達到96.8%。胎兒法洛四聯癥超聲圖像特徵主要為主動脈騎跨、室間隔缺損、肺動脈狹窄以及右室壁無明顯增厚。結論法洛四聯癥胎兒的超聲圖像具有十分明顯的特徵，綵色多普勒是診斷該病的有效方法，對其有著重要的臨床意義，值得廣汎推廣。
목적：관찰분석채색다보륵재진단태인법락사련증중적응용，제고태인산전진단솔。방법회고성분석31례경채색다보륵초성진단학진위법락사련증태인적생리특점급초성도상。결과31례태인중，경채색다보륵검사인산후시검진단학진위법락사련증공30례，루진1례，초성진단학진솔체도96.8%。태인법락사련증초성도상특정주요위주동맥기과、실간격결손、폐동맥협착이급우실벽무명현증후。결론법락사련증태인적초성도상구유십분명현적특정，채색다보륵시진단해병적유효방법，대기유착중요적림상의의，치득엄범추엄。
Objective To explore the values and skills of color Doppler in the prenatal diagnosis of fetal tetralogy of Fallot,and improve the prental diagnostic rate. Methods The data of 31 fetuses diagnosed as tetralogy of Fallot by fetal echocardiography were reviewed and the abnormal echocardiographic features in various sonographic views were analyzed. Results In 31 cases of foetussuspected with tetralogy of Fallot,30 cases were diagnosed by postpartum ultrasound or induced labor autopsy.the rate of ultrasound diagnosis was 96.8%.1 cases was missed. The image features were the main aorta situated above the ventricular septal defect,pulmonary stenosis,no obvious thickening of the fight wall. Conclusion Fetal tetralogy of Fallot have characteristic ultrasound images,prenatal color Doppler ultrasonographic can diagnoses fetal tetralogy of Fallot correctly and has important clinical value.
