| 产前超声心动图诊断胎儿左心室发育不良综合征 |
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| 引用本文： | 姜立新,沈国芳,应涛,胡兵.产前超声心动图诊断胎儿左心室发育不良综合征[J].中国医学影像技术,2010,26(12):2346-2349. |
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| 作者姓名： | 姜立新 沈国芳 应涛 胡兵 |
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| 作者单位： | 上海交通大学附属第六人民医院超声医学科,上海,200233 |
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| 摘 要： | 目的 探讨胎儿超声心动图诊断左心室发育不良综合征(HLHS)的临床价值。方法 对18胎HLHS胎儿的临床资料进行回顾性研究,分析其超声心动图特征。结果 18胎HLHS胎儿的超声心动图结果:①心尖四腔心切面:左心室小、心室发育不良。8胎二尖瓣及主动脉瓣闭锁,且左心室重度发育不良;5胎二尖瓣闭锁合并主动脉瓣狭窄及主动脉缩窄;3胎二尖瓣狭窄伴主动脉瓣狭窄及主动脉弓缩窄;2胎二尖瓣狭窄伴主动脉瓣闭锁及主动脉弓缩窄。②三血管切面:主动脉内径明显小于肺动脉,主动脉与肺动脉内径比值为0.25~0.40,平均0.38±0.18,主动脉横弓与动脉导管、肺动脉血流方向相反。③胸骨旁四腔心切面:6胎房间隔增厚,未显示房间隔穿隔血流。12胎胎儿卵圆孔径偏小、显示房间隔左向右分流。结论 胎儿超声心动图可早期诊断胎儿HLHS,结合染色体检查对围生期的监测和临床处理有重要意义。
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| 关 键 词： | 左心室发育不良综合征 胎儿 超声心动描记术 |
| 收稿时间： | 2010/8/16 0:00:00 |
| 修稿时间： | 9/4/2010 12:00:00 AM |
Prenatal echocardiography in diagnosis of fetal hypoplastic left heart syndrome |
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| JIANG Li-xin,SHEN Guo-fang,YING Tao and HU Bing.Prenatal echocardiography in diagnosis of fetal hypoplastic left heart syndrome[J].Chinese Journal of Medical Imaging Technology,2010,26(12):2346-2349. |
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| Authors: | JIANG Li-xin SHEN Guo-fang YING Tao and HU Bing |
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| Institution: | Department of Ultrasound in Medicine, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound in Medicine, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound in Medicine, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound in Medicine, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China |
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| Abstract: | |
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| Keywords: | Hypoplastic left heart syndrome Fetus Echocardiography |
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