[1]李晓瑜,郑俊平,蒋演,等.多功能超声检测胎儿右室双出口及法洛四联症右心室功能[J].陆军军医大学学报(原第三军医大学学报),2013,35(21):2375-2379.
 Li Xiaoyu,Zheng Junping,Jiang Yan,et al.Multifunctional echocardiography for right ventricular function in fetuses suffering from double outlet right ventricle or Tetralogy of Fallot[J].J Amry Med Univ (J Third Mil Med Univ),2013,35(21):2375-2379.
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多功能超声检测胎儿右室双出口及法洛四联症右心室功能(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
35卷
期数:
2013年第21期
页码:
2375-2379
栏目:
论著
出版日期:
2013-11-15

文章信息/Info

Title:
Multifunctional echocardiography for right ventricular function in fetuses suffering from double outlet right ventricle or Tetralogy of Fallot
作者:
李晓瑜郑俊平蒋演李佩倞高云华夏红梅
第三军医大学新桥医院超声科;解放军第12医院特诊科
Author(s):
Li Xiaoyu Zheng Junping Jiang Yan Li Peijing Gao Yunhua Xia Hongmei
Department of Ultrasonography, Xinqiao Hospital, Third Military Medical University, Chongqing, 400037, Department of Specific Diagnosis, No. 12 Hospital of PLA, Shule, Xijiang Uygur Autonomous Region, 844200, China
关键词:
脉冲多普勒M型超声RT-3DE胎儿右心室功能
Keywords:
Pulsed-wave DopplerM-mode echocardiographyreal-time three-dimensional volumetric echocardiographyfetusright ventricular function
分类号:
R445.1; R654.1; R714.53
文献标志码:
A
摘要:
目的      探讨脉冲多普勒(PW)、M型(MME)、实时三维容积(RT-3DE) 超声心动图在右室双出口及法洛四联症胎儿右心功能检测中的应用价值。      方法        采用PW、MME、RT-3DE三种方法,分别测量30例右室双出口及法洛四联症胎儿和30例正常胎儿的Tei 指数、右室舒张末期容积(right ventricular end-diastolic volume ,RVEDV)、收缩末期容积(right ventricular end-systolic volume ,RVESV)、每搏量(stroke volume ,SV)和射血分数(ejection fraction ,EF)等指标,并进行对比分析。      结果        PW测量异常组胎儿右室Tei指数为(0.48±0.09),正常组为(0.36±0.05),异常组测值明显高于正常组;MME与 RT-3DE 测量的异常组胎儿右室EF分别为(60.04±7.69)、(52.04±7.26),差异有统计学意义(P<0.05);PW测量的Tei指数与RT-3DE的ROC诊断曲线较一致,与MME差异较大。      结论        RT-3DE可不依赖于任何解剖假设准确地评价胎儿心功能,且具有较好的重复性;由于右心室形态的不规则,MME在心室内径的测量上存在较大的误差,其相关测值的准确性和可重复性均较RT-3DE差。
Abstract:
Objective        To evaluate the value of the Pulsed Doppler (PW), M-mode echocardiography (MME), real-time three-dimensional volumetric echocardiography (RT-3DE) in the assessment of right ventricular function of the fetuses with double outlet right ventricle (DORV) or Tetralogy of Fallot (TOF).       Methods        PW, MME, and RT-3DE were performed respectively in 30 fetuses with DORV or TOF and 30 normal fetuses in our department from December 2010 to December 2012. Data including Tei index (TI), right ventricular end-diastolic volume (RVEDV), end-systolic volume (RVESV), stroke volume (SV) and ejection fraction (EF) were analyzed and compared in the 2 groups.       Results        The results of fetal right ventricular TI by PW was significantly higher in the abnormal group than in the normal group (0.48±0.09 vs 0.36±0.05, P<0.05). MME indicated that EF in abnormal fetuses was 60.04±7.69, while RT-3DE showed the index was 52.04±7.26, with the former significantly higher than the later (P<0.05). TI by PW was consistent with in the receiver operating characteristic (ROC) curve of RT-3DE, but was significantly different from that of MME.       Conclusion        RT-3DE evaluates the right ventricular function of fetuses with complex congenital heart disease accurately without depending on any anatomical assume, with good repeatability. Due to the irregularities of the right ventricular morphology, there is a large error in ventricular diameter measurement by MME. The accuracy and repeatability of MME are lower that that of the RT-3DE.

相似文献/References:

[1]高云华,杨浩,诸明兰,等.二维-脉冲多普勒超声心动图诊断冠状动脉瘘[J].陆军军医大学学报(原第三军医大学学报),1988,10(02):0.[doi:10.16016/j.1000-5404.1988.02.022 ]
[2]马慧卿,张令仪,秦乾元,等.扩张型心肌病心脏和左室舒张功能的M型超声观察[J].陆军军医大学学报(原第三军医大学学报),1984,06(01):0.[doi:10.16016/j.1000-5404.1984.01.013 ]
 Ma Huiqing,Zhang Lingyi,Qin Qianyuan,et al.[J].J Amry Med Univ (J Third Mil Med Univ),1984,06(21):0.[doi:10.16016/j.1000-5404.1984.01.013 ]

更新日期/Last Update: 2013-11-06