本文選題：左心發(fā)育不良綜合征 + 假性左心發(fā)育不良�。� 參考：《福建醫(yī)科大學(xué)》2014年碩士論文

【摘要】：【目的】 探討應(yīng)用胎兒超聲心動(dòng)圖對(duì)假性左心發(fā)育不良的診斷價(jià)值。 【材料與方法】 將胎兒超聲心動(dòng)圖檢出的部分性肺靜脈異位引流15例，，主動(dòng)脈縮窄20例，房間隔膨出瘤30例與正常組50例以及左心發(fā)育不良綜合征14例的胎兒的心臟數(shù)據(jù)如左房、右房、左室、右室、左心房/右心房比值、左心室/右心室比值、主動(dòng)脈、肺動(dòng)脈進(jìn)行比較分析，研究除左心發(fā)育不良綜合征之外的心血管結(jié)構(gòu)異常與形態(tài)異常對(duì)左心發(fā)育的影響。 【結(jié)果】 1、正常組：左房、右房、左室、右室、主動(dòng)脈、肺動(dòng)脈內(nèi)徑分別為（11.742±1.508）cm、（13.330±1.718）cm、（11.392±1.668）cm、（12.354±1.581）cm、（6.262±0.854）cm、（7.612±1.040）cm，、左房/右房比值為（0.883±0.072），左室/右室比值為（0.920±0.044）。 2、異常組：部分性肺靜脈異位引流組、主動(dòng)脈縮窄組、房間隔膨脹瘤組的的左房、左室、左房/右房比值、左室/右室比值比正常組�。≒0.05P=0.000），右房、右室值比正常組大（P0.05，P=0.000）；部分性肺靜脈異位引流組、主動(dòng)脈縮窄組及房間隔膨脹瘤組主動(dòng)脈比正常組�。≒0.05P=0.000）；主動(dòng)脈縮窄組的肺動(dòng)脈比正常組大（P0.05），房間隔膨脹瘤組的肺動(dòng)脈比正常組�。≒0.05P=0.000）。部分性肺靜脈異位引流組、主動(dòng)脈縮窄組、房間隔膨脹瘤組的左房、右房、左房/右房、左室、右室、左室/右室值都比左心發(fā)育不良綜合征組大（P0.05P=0.000）；肺靜脈異位引流組的肺動(dòng)脈比左心發(fā)育不良綜合征組比�。≒0.05P=0.000），主動(dòng)脈縮窄組、房間隔膨脹瘤組的主動(dòng)脈、肺動(dòng)脈都比左心發(fā)育不良綜合征組大（P0.05P=0.000）�！窘Y(jié)論】胎兒超聲心動(dòng)圖是研究左心發(fā)育不良的的重要且方便的方法。部分性肺靜脈異位引流、主動(dòng)脈縮窄、房間隔膨出瘤可引起左心發(fā)育相對(duì)差，但與真正的左心發(fā)育不良綜合征相比具有顯著差異。
[Abstract]:[Objective]
Objective to investigate the diagnostic value of fetal echocardiography in pseudohypoplasia of left heart.
[materials and methods]
15 cases of partial pulmonary venous drainage detected by fetal echocardiography, 20 cases of coarctation of aorta, 30 cases of atrial septal aneurysm, 50 cases of normal group and 14 cases of left heart dysplasia syndrome, such as left atrium, right chamber, left ventricle, right ventricle, right atrium ratio, left ventricular / right ventricular ratio, aorta and pulmonary artery. A comparative analysis was conducted to study the effects of cardiovascular structural abnormalities and abnormal morphology on left ventricular development in addition to left ventricular hypoplasia syndrome.
[results]
1, in the normal group, the left atrium, right atrium, left ventricle, right ventricle, aorta and pulmonary artery were (11.742 + 1.508) cm, (13.330 + 1.718) cm, (11.392 + 1.668) cm, (12.354 + 1.581) cm, (6.262 + 0.854) cm and (7.612 + 1.040) cm, and the ratio of left atrial / right chamber (left ventricular / right chamber) was (left ventricular / right ventricular ratio).
2, abnormal group: the partial pulmonary venous ectopic drainage group, the coarctation group of the aorta, the left atrium, the left atrium / right atrium ratio, the left ventricular / right ventricular ratio smaller than the normal group (P0.05P=0.000), the right chamber and right ventricular value larger than the normal group (P0.05, P=0.000); the partial pulmonary venous ectopic drainage group, the coarctation group of the aorta and the atrial septum tumor. The aorta of the group was smaller than the normal group (P0.05P=0.000); the pulmonary artery in the coarctation group of the aorta was larger than the normal group (P0.05), and the pulmonary artery of the atrial septal expansive tumor group was smaller than the normal group (P0.05P=0.000). The partial pulmonary venous ectopic drainage group, the coarctation group of the aorta, the left atrium, the left atrium / right chamber, the left ventricle, the left ventricle, the left ventricle / right ventricular value were all in the group of atrial septum expansive tumor. Compared to the left heart dysplasia syndrome group (P0.05P=0.000), the pulmonary artery in the pulmonary venous drainage group was smaller than the left heart dysplasia group (P0.05P=0.000), the aorta coarctation group, the atrial septum swelling group of the aorta and the pulmonary artery were larger than the left heart dysplasia syndrome group (P0.05P=0.000). [conclusion] fetal echocardiography is a research study. An important and convenient approach to left heart dysplasia. Partial anomalous pulmonary venous drainage, coarctation of the aorta, and atrial septal aneurysm may cause a relatively poor left heart development, but are significantly different from the real left heart dysplasia syndrome.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R445.1

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