中外女性健康（下半月）
中外女性健康（下半月）
중외녀성건강（하반월）
CHINESE-FOREIGN WOMEN'S HEALTH
2014年
12期
26-27
,共2页
3VT%超声%胎儿%主动脉%肺动脉%闭锁%畸形
3VT%超聲%胎兒%主動脈%肺動脈%閉鎖%畸形
3VT%초성%태인%주동맥%폐동맥%폐쇄%기형
3VT%Ultrasound%Fetus%Aorta%Pulmonary artery%Occlusion%Deformity
目的：探讨3VT切面在胎儿主动脉闭锁及肺动脉闭锁超声诊断与鉴别诊断中的价值。方法：结合6例主动脉闭锁和9例肺动脉闭锁病例3VT切面超声所见，对其超声图像进行分析。结果：3VT切面超声检查，6例主动脉闭锁，均显示动脉导管弓、主动脉弓、上腔静脉三条血管管径大小及其比例关系失调，主动脉弓内可见向心的逆向血流，与肺动脉血流相反。9例肺动脉闭锁均显示主动脉管径增大，肺动脉管径细小且多显示不清晰，正常的动脉导管弓、主动脉弓、上腔静脉三条血管管径比例关系消失，彩色多普勒超声检查，肺动脉内无前向血流，而显示为逆向血流，与主动脉内血流方向相反，主动脉内血流显著增加。结论：3VT切面是超声检查胎儿心脏大血管畸形不可缺少的一个切面，对于主动脉闭锁、肺动脉闭锁的超声诊断及其鉴别诊断，又有着非常重要的价值。在实际工作中，需要注意的是超声检查应该系统、全面，多切面综合观察、分析是明确诊断、正确诊断的关键。
目的：探討3VT切麵在胎兒主動脈閉鎖及肺動脈閉鎖超聲診斷與鑒彆診斷中的價值。方法：結閤6例主動脈閉鎖和9例肺動脈閉鎖病例3VT切麵超聲所見，對其超聲圖像進行分析。結果：3VT切麵超聲檢查，6例主動脈閉鎖，均顯示動脈導管弓、主動脈弓、上腔靜脈三條血管管徑大小及其比例關繫失調，主動脈弓內可見嚮心的逆嚮血流，與肺動脈血流相反。9例肺動脈閉鎖均顯示主動脈管徑增大，肺動脈管徑細小且多顯示不清晰，正常的動脈導管弓、主動脈弓、上腔靜脈三條血管管徑比例關繫消失，綵色多普勒超聲檢查，肺動脈內無前嚮血流，而顯示為逆嚮血流，與主動脈內血流方嚮相反，主動脈內血流顯著增加。結論：3VT切麵是超聲檢查胎兒心髒大血管畸形不可缺少的一箇切麵，對于主動脈閉鎖、肺動脈閉鎖的超聲診斷及其鑒彆診斷，又有著非常重要的價值。在實際工作中，需要註意的是超聲檢查應該繫統、全麵，多切麵綜閤觀察、分析是明確診斷、正確診斷的關鍵。
목적：탐토3VT절면재태인주동맥폐쇄급폐동맥폐쇄초성진단여감별진단중적개치。방법：결합6례주동맥폐쇄화9례폐동맥폐쇄병례3VT절면초성소견，대기초성도상진행분석。결과：3VT절면초성검사，6례주동맥폐쇄，균현시동맥도관궁、주동맥궁、상강정맥삼조혈관관경대소급기비례관계실조，주동맥궁내가견향심적역향혈류，여폐동맥혈류상반。9례폐동맥폐쇄균현시주동맥관경증대，폐동맥관경세소차다현시불청석，정상적동맥도관궁、주동맥궁、상강정맥삼조혈관관경비례관계소실，채색다보륵초성검사，폐동맥내무전향혈류，이현시위역향혈류，여주동맥내혈류방향상반，주동맥내혈류현저증가。결론：3VT절면시초성검사태인심장대혈관기형불가결소적일개절면，대우주동맥폐쇄、폐동맥폐쇄적초성진단급기감별진단，우유착비상중요적개치。재실제공작중，수요주의적시초성검사응해계통、전면，다절면종합관찰、분석시명학진단、정학진단적관건。
Objective: To study the 3VT view in fetal aortic atresia and pulmonary atresia ultrasound diagnosis and differential diagnosis value. Methods: 6 patients with aortic atresia and 9 cases of pulmonary atresia 3VT ultrasound can see on the ultrasound image analysis. Results:3VT scan, 6 cases with aortic atresia, showed disorder arterial arch, the arch of the aorta, superior vena cava in three blood vessel diameter size and proportion, reverse the flow within the aorta obviously centripetal, contrary to pulmonary artery blood flow. 9 patients with pulmonary atresia showed aortic diameter increases, the pulmonary artery diameter small and multi display is not clear, lost normal arterial arch, the arch of the aorta, superior vena cava, three vascular diameter proportion, color Doppler ultrasound examination, pulmonary artery without blood to flow forward, and displayed as a reverse flow, in contrast with the intra aortic the direction of the flow, aortic blood flow increased significantly. Conclusion: 3VT section is a section of ultrasonography of fetal cardiac malformation indispensable, ultrasound diagnosis and differential diagnosis for aortic atresia, pulmonary artery atresia have very important value. In practical work, needs to pay attention is the ultrasonic examination should be systematic and comprehensive, multi section comprehensive observation and analysis is the key of diagnosis and correct diagnosis.
