期刊文献+

彩色多普勒超声检测12~14孕周胎儿三尖瓣反流的应用价值 被引量:6

Application value of color Doppler ultrasound in detecting fetal tricuspid regurgitation at 12~14th week of gestation
暂未订购
导出
摘要 目的探讨彩色多普勒超声检测孕12—14周胎儿三尖瓣反流的临床价值。方法52例孕12-14周发现三尖瓣反流的胎儿为反流组,根据反流程度分为轻度反流和中重度反流;50例孕12-14周未见三尖瓣反流的胎儿为对照组。两组均于孕中晚期行彩色多普勒系统畸形筛查。结果反流组胎儿轻度反流46例,中重度反流6例;检出胎儿异常10例,检出率为19.2%。对照组检出胎儿异常2例,检出率为4.0%;反流组胎儿异常检出率高于对照组(P〈0.05)。结论孕12-14周三尖瓣反流的胎儿发生异常的风险高于正常胎儿,彩色多普勒超声检测孕早期胎儿三尖瓣反流有重要的临床价值。 Objective To explore clinic value of color Doppler ultrasound in detecting the fetal tricuspid regurgitation (TR) at 12-14th week of gestation. Methods Fifty-two fetals with TR at 12-14th week of gestation were divided into mild reflux group, moderate and severe reflux group. Fifty fetuses without TR at 12-14th week of gestation were used as the control group. Fetals in the two groups were examined by color Doppler ultrasound to screen abnormalities during the second or third trimester. Results Forty-six cases were mild reflux and 6 cases were moderate and severe reflux. Ten cases in TR group were examined as fetal abnormalities, and the detection rate was 19.2%. Two cases in control group were examined as fetal abnormalities, and the detection rate was 4.0%. The detection rate in TR group was higher than that in control group (P 〈 0.05 ). Conclusion Fetuses with TR at 12-14th week of gestation has higher risk than normal fetuses. Color Doppler ultrasound has important clinical value in detecting TR in the first trimester.
出处 《临床超声医学杂志》 2013年第11期790-792,共3页 Journal of Clinical Ultrasound in Medicine
关键词 超声检查 多普勒 彩色 胎儿 孕12~14周 三尖瓣反流 Ultrasonography, Doppler, color Fetal, 12- ldth week of gestation Tricuspid regurgitation
  • 相关文献

参考文献7

二级参考文献28

  • 1邹勤,邹雅,李小丽,李智力,何育胜,利祥群,张小飞.超声心动图检测胎儿三尖瓣反流的价值[J].武警医学,2006,17(11):857-859. 被引量:5
  • 2Tulzer G, Gudmuudsson S, Tews G, et al. Incidence of indomethacin - induced human fetal ductal constriction [ J ]. J Matern Fetal Invest, 1992,1 (21) :267 -269.
  • 3Respondek ML, Kammermeier M, Ludomirsky A, et al. The prevalence and clinical significance of fetal tricuspid valve regurgitation with normal heart anatomy [ J ]. Am J Obstect Gynecol, 1994,171 ( 3 ) : 1265 - 1270.
  • 4李胜利,主编.胎儿畸形产前超声诊断学[M].第1版.北京:人民军医出版社,2008.96.
  • 5Copel JA,Liang RI, Demasio K, et al. The clinical significance of the irregular fetal heart rhythm. Am J Obstet Gynecol, 2000,182: 813-819.
  • 6Naheed ZJ, Strasburger JF, Deal BJ, et al. Fetal tachycardia: mechanisms and predictors of hydrops fetalis. J Am Coll Cardiol, 1996,27: 1736-1740.
  • 7Reed KL. Fetal arrhythmias: etiology, dignosis, pathophysiology, and treatment. Semin Perinatol, 1989,13: 294-304.
  • 8Brown DL. Sonographic assessment of fetal arrhythmias. Am J Roentgenol, 1997,169: 1029-1033.
  • 9李胜利.胎儿畸形超声诊断图谱[M].广东语言音像出版社发行,2003..
  • 10UerpairojkitB, Witoonpanjch P. Prenatal ultrasound diagnosis in thailand. Southeast Asian J Trop Med Public Health, 1999, 30 (4): 193~195.

共引文献73

同被引文献44

  • 1徐慧,燕凤,郭芬芬,陈必良,王德堂,张建芳.胎儿颈项透明层厚度与染色体异常关系的探讨[J].中国产前诊断杂志(电子版),2012,4(3):19-22. 被引量:26
  • 2裴秋艳,姜玉新,齐振红,赵耘,刘望彭.正常孕10~19周胎儿静脉导管彩色血流频谱的初步探讨[J].中华超声影像学杂志,2005,14(12):914-917. 被引量:10
  • 3邹勤,邹雅,李小丽,李智力,何育胜,利祥群,张小飞.超声心动图检测胎儿三尖瓣反流的价值[J].武警医学,2006,17(11):857-859. 被引量:5
  • 4Caughey A, Kuppemann M, Norton M, et al. Nuchal trans- lucency and first trimester biochemical markers for down syndrome screening: a cost-effectiveness analysis[ J]. Am J Obstet Gyneco1,2002,187 (5) : 1239-1245.
  • 5Snijders R I M, Noble P, Sebire N, et al. UKmulticentre project on assessment of risk trisomy 21 by maternal age and fetal nuchal translucency thickness at 10-14 weeks of gestation[ J]. Lancet, 1998,351 (9125) :343-346.
  • 6Syngelaki A, Chelemen T, Dagklis T, et al. Challenges in the diagnosis of fetal non-chromosomal abnormalities at 11-13 weeks[J]. Prenat Diagn,2011,31 ( 1 ) :90-102.
  • 7Unsal A, Sezer S D, Meteoale L, et al. Ultrasonographic prenatal diagnosis of isolated acephaly [ J ]. Diagn Interv Radial, 2007,13 (4) : 196-198.
  • 8Haak M C,Twisk I W R,Van Vugt J M G. How success- ful is fetal echocardiographic examination in the first tri- mester of pregnancy [ J ]. Ultrasound Obstet Gynecol, 2002,20( 1 ) :9-13.
  • 9Allan L D. Cardiac anatomy screening :what is the best time for screening in pregnancy? [ J ]. Curt Opin Obstet Gyneco1,2003,15 (2) : 143-146.
  • 10Ilescu D, Tudorache S, Comanescu A, et al. Improved de- tection rate of structural abnormalities in the first trimes- ter using an extended examination protocol [ J ]. Ultra- sound Obstet Gynecol, 2013,42 ( 3 ) : 300-309.

引证文献6

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部