超声心动图诊断胎儿肺动脉狭窄的产前及产后对照分析

发布时间：2018-01-13 10:55

本文关键词：超声心动图诊断胎儿肺动脉狭窄的产前及产后对照分析　出处：《航空航天医学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的超声心动图诊断胎儿肺动脉狭窄的产前及产后对照分析。方法运用数字随机选择的方式,从2015年5月-2017年5月接收疑似为胎儿肺动脉狭窄的患者中,抽取50例进行研究,分析患者产前、产后的超声心动图变化情况。结果 50例产前疑似胎儿肺动脉狭窄患者产后超声心动图提示41例存在肺动脉狭窄,所占比例是82.0%,与产前对比存在统计学差异,P0.05,其中肺动脉瓣狭窄为31例,所占比例是75.61%,肺动脉主干狭窄为10例,所占比例是24.39%,胎儿肺动脉狭窄主要为肺动脉瓣狭窄与肺动脉主干狭窄,前者所占比例最高,与后者比较有显著差异,P0.05。结论胎儿肺动脉狭窄的产前及产后的血流特征较为典型,产后加强超声心动图检查,能够显著提升临床诊断结果的准确率,有利于评估后期的预后治疗效果。
[Abstract]:Objective comparative analysis of prenatal and postnatal echocardiography diagnosis of fetal pulmonary stenosis. Methods by using digital random selection method from May 2015 -2017 May receiving suspected fetal pulmonary artery stenosis patients, selected 50 cases of patients, analysis of prenatal, postnatal echocardiography. Results 50 cases of suspected prenatal fetus pulmonary artery stenosis in patients with postpartum echocardiography in 41 patients with pulmonary artery stenosis, the proportion is 82%, there was significant difference compared with prenatal P0.05, including pulmonary valve stenosis in 31 cases, the proportion is 75.61%, the main pulmonary artery stenosis in 10 cases, the proportion was 24.39%, fetal pulmonary artery stenosis as the main trunk of pulmonary artery stenosis and pulmonary artery stenosis, the highest proportion, there was significant difference compared with the latter, P0.05. conclusion fetal pulmonary artery stenosis in antepartum and postpartum blood flow characteristics As a typical case, postpartum echocardiography can significantly improve the accuracy of the clinical diagnosis and evaluate the effect of the later prognosis.

【作者单位】：福建医科大学附属宁德市医院超声医学科;
【分类号】：R540.45;R714.5
【正文快照】： 先天性心脏病属于临床常见疾病,而在众多先天性心脏疾病中大约有12-18%为肺动脉狭窄,该病指的是患者的肺动脉瓣以及主肺动脉等存在先天性的狭窄,在临床中极为常见。通常情况下,肺动脉狭窄患儿的血流较为特殊,临床诊断相对困难,特别是对于部分胎儿轻度中度肺动脉狭窄的诊断难度

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