本文選題：胎兒超聲心動(dòng)圖 + 肺靜脈畸形引流　； 參考：《中國(guó)超聲醫(yī)學(xué)雜志》2017年06期

【摘要】：目的對(duì)比分析肺靜脈畸形引流(APVC)胎兒與正常胎兒心房大小的不同,探討胎兒期心房大小改變對(duì)APVC的診斷價(jià)值。方法對(duì)81例孕期經(jīng)超聲檢查診斷為APVC的胎兒心臟特點(diǎn)進(jìn)行總結(jié),建立1 500例正常胎兒心房左右徑z-score模型,比較兩組心房大小的差異。結(jié)果 81例APVC中完全型68例,部分型13例;正常胎兒與APVC胎兒左房(LA)z-score差異有統(tǒng)計(jì)學(xué)意義(P0.05),TAPVC胎兒LA z-score均值明顯小于正常胎兒(P0.001),TAPVC胎兒中61.82%LA z-score-2,PAPVC胎兒中41.67%LA z-score-2,與正常組相比差異具有統(tǒng)計(jì)學(xué)意義(P0.001)。結(jié)論胎兒心房大小的特征性改變是診斷APVC的重要指標(biāo)之一,特別是LA z-score-2時(shí)對(duì)診斷TAPVC具有較大的參考價(jià)值。
[Abstract]:Objective to compare and analyze the difference of atrial size between fetuses with anomalous pulmonary venous drainage (APVC) and normal fetuses, and to explore the diagnostic value of atrial size change in fetal stage for APVC. Methods the characteristics of fetal heart in 81 cases with APVC diagnosed by ultrasound during pregnancy were summarized, and 1 500 normal fetal atrial left and right diameter (z-score) models were established, and the difference of atrial size between the two groups was compared. Results there were 68 cases of complete type and 13 cases of partial type in 81 cases of APVC. There was significant difference between normal fetus and APVC fetus. The mean value of LA z-score in normal fetus and APVC fetus was significantly lower than that in 61.82%LA z-score-2pAPVC fetus and 41.67%LA z-score-2in 61.82%LA z-score-2pAPVC fetus, which was significantly lower than that in normal fetal group (P 0.001). Conclusion the characteristic change of fetal atrial size is one of the important indexes in the diagnosis of APVC, especially LA z-score-2 has great reference value in the diagnosis of TAPVC.
【作者單位】： 解放軍第四軍醫(yī)大學(xué)西京醫(yī)院超聲科(陜西省胎兒先天性心臟病超聲診斷中心);
【基金】：陜西省出生缺陷防治科研課題(No.Sxwsjswzfcght2016-012) 陜西省社會(huì)發(fā)展科技攻關(guān)項(xiàng)目(No.2016SF-098)
【分類號(hào)】：R540.45;R714.5

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