中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2014年
10期
861-864
,共4页
吴娟%栗河舟%王铭%刘云%王新霞%崔世红
吳娟%慄河舟%王銘%劉雲%王新霞%崔世紅
오연%률하주%왕명%류운%왕신하%최세홍
超声检查,多普勒%胎儿%心律失常%脐动脉%静脉导管
超聲檢查,多普勒%胎兒%心律失常%臍動脈%靜脈導管
초성검사,다보륵%태인%심률실상%제동맥%정맥도관
Ultrasonography,Dopple%Fetus%Arrhythmias%Umbilical arteries%Ductus venosus
目的 探讨多普勒超声监测心律失常胎儿脐动脉、静脉导管血流频谱的临床价值及其对胎儿预后的影响.方法 对孕16～41周的产科听诊、胎儿电子监护或超声检查发现心律异常的796例胎儿进行多普勒超声检查,监测脐动脉和静脉导管血流频谱,分析其对胎儿预后的影响.所有纳入研究的胎儿出生后尽量进行心电图和超声心动图检查.结果 796例胎儿中检出心律失常136例.136例心律失常胎儿中脐动脉舒张末期血流缺失或反向18例,静脉导管A谷缺失或反向9例.18例血流频谱异常的心律失常胎儿合并先天性心脏病12例(占66.7％).心动过缓胎儿伴发血流频谱异常和先天性心脏病的比例高.结论 脐动脉、静脉导管血流频谱正常的心律失常胎儿预后良好;反之预后较差.监测心律失常胎儿的脐动脉、静脉导管血流频谱,可以为临床明确诊断、早期干预提供依据.
目的 探討多普勒超聲鑑測心律失常胎兒臍動脈、靜脈導管血流頻譜的臨床價值及其對胎兒預後的影響.方法 對孕16～41週的產科聽診、胎兒電子鑑護或超聲檢查髮現心律異常的796例胎兒進行多普勒超聲檢查,鑑測臍動脈和靜脈導管血流頻譜,分析其對胎兒預後的影響.所有納入研究的胎兒齣生後儘量進行心電圖和超聲心動圖檢查.結果 796例胎兒中檢齣心律失常136例.136例心律失常胎兒中臍動脈舒張末期血流缺失或反嚮18例,靜脈導管A穀缺失或反嚮9例.18例血流頻譜異常的心律失常胎兒閤併先天性心髒病12例(佔66.7％).心動過緩胎兒伴髮血流頻譜異常和先天性心髒病的比例高.結論 臍動脈、靜脈導管血流頻譜正常的心律失常胎兒預後良好;反之預後較差.鑑測心律失常胎兒的臍動脈、靜脈導管血流頻譜,可以為臨床明確診斷、早期榦預提供依據.
목적 탐토다보륵초성감측심률실상태인제동맥、정맥도관혈류빈보적림상개치급기대태인예후적영향.방법 대잉16～41주적산과은진、태인전자감호혹초성검사발현심률이상적796례태인진행다보륵초성검사,감측제동맥화정맥도관혈류빈보,분석기대태인예후적영향.소유납입연구적태인출생후진량진행심전도화초성심동도검사.결과 796례태인중검출심률실상136례.136례심률실상태인중제동맥서장말기혈류결실혹반향18례,정맥도관A곡결실혹반향9례.18례혈류빈보이상적심률실상태인합병선천성심장병12례(점66.7％).심동과완태인반발혈류빈보이상화선천성심장병적비례고.결론 제동맥、정맥도관혈류빈보정상적심률실상태인예후량호;반지예후교차.감측심률실상태인적제동맥、정맥도관혈류빈보,가이위림상명학진단、조기간예제공의거.
Objective To explore the clinical value of Doppler flow spectrums of umbilical artery and ductus venosus in fetus with arrhythmia by Doppler ultrasound in evaluating the fetal prognosis.Methods Umbilical artery and ductus venosus flow spectrums were obtained in a total of 796 pregnancies with gestation age between 16-41 weeks who were found abnormal heart rhythm by maternity auscultation,fetal electronic monitoring or ultrasound.All these fetuses were followed up by electrocardiography and echocardiography examination until the end of pregnancy and the pregnancy outcomes were recorded.Results Among 796 fetuses,136 cases of fetal arrhythmia were detected.There were 18 cases appeared with umbilical artery absent or reversed end-diastolic flow,and 9 cases with absent or reversed wave A.Among 18 fetuses with arrhythmia whose blood flow spectrums of umbilical artery were abnormal,twelve were compared with congenital heart disease.The proportion of fetal bradycardia associated with abnormal flow spectrums and congenital heart disease were higher than other types of arrhythmias.Conclusions Pregnancy outcome of the fetus with arrhythmias who appeared with normal umbilical artery and ductus venosus will be good,and conversely is poor.So Doppler flow spectrums of the fetal umbilical artery and ductus venosus is one of the important indicators in early intervention.
