超声心动图诊断胎儿单纯肌部室间隔缺损及生后12个月内自然转归

发布时间：2018-01-26 14:19

本文关键词： 超声心动图胎儿肌部室间隔缺损　出处：《中国超声医学杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的探讨超声心动图诊断胎儿单纯肌部室间隔缺损(M-VSD)及其出生后12个月内自然转归情况。方法综合利用二维超声及多普勒技术对胎儿心脏进行检查,如观察到肌部室间隔存在分流且不存在复杂心脏畸形及其他器官重大畸形者计人观察组内,并对此部分胎儿生后进行超声心动图随访。结果诊断为单纯M-VSD胎儿24例,其中单发M-VSD 22例,多发M-VSD 2例。成功随访新生儿20例,其中单发MVSD 18例,多发M-VSD 2例;宫内自然闭合者4例,出生后闭合者9例,出生后仍然存在分流者7例(包括2例出生后初期存在分流而后期闭合者)。结论胎儿单纯M-VSD在中晚孕及出生后12个月内存在较高自然闭合率。超声心动图是诊断胎儿单纯M-VSD的可靠手段,对观察M-VSD发展和判断预后有重要意义。
[Abstract]:Objective to investigate the diagnosis of fetal simple ventricular septal defect (VSD) by echocardiography. Methods the fetal heart was examined by two dimensional ultrasound and Doppler technique. If the myoventricular septum shunt was observed and there was no complex cardiac malformation and other major organ deformities were observed in the observation group. 24 cases of pure M-VSD fetus were diagnosed, of which 22 cases were single M-VSD. 20 cases of newborns were followed up successfully, including 18 cases of single MVSD and 2 cases of multiple M-VSD. There were 4 cases of spontaneous intrauterine closure and 9 cases of postnatal closure. 7 cases of postnatal shunt (including 2 cases with post-natal shunt and late closure). Conclusion Fetal simple M-VSD has a high natural closure rate in middle and late pregnancy and 12 months after birth. Echocardiography is a reliable method for the diagnosis of fetal simple M-VSD. It is important to observe the development of M-VSD and to judge the prognosis.
【作者单位】：首都医科大学附属北京安贞医院超声心动图一部;
【分类号】：R540.45;R714.5
【正文快照】： 肌部室间隔缺损(muscular ventricular septaldefect,M-VSD)占单纯VSD的5%?20%[1]。随着_ 胎儿M-VSD检出率显著提高,如何提供可靠诊断和预后信息成为一大挑战。受胎儿期左右心压力基本相等、孕妇声窗、胎儿体位遮挡等影响,其诊断仍有一定困难。本研究回顾性分析24例单纯胎儿M-

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