超声心动图诊断胎儿三尖瓣下移畸形

首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (5): 582-584.

超声心动图诊断胎儿三尖瓣下移畸形

吴青青, 姚苓, 陈焰

首都医科大学北京妇产医院超声科

收稿日期:2005-08-20 修回日期:1900-01-01 出版日期:2005-10-24 发布日期:2005-10-24

Diagnosis of Fetal Ebstein Anomaly by Echocardiography

Wu Qingqing, Yao Ling, Chen Yan

Department of Ultrasound, Beijing Obstetrics and Gynecology Hospital, Capital University of Medical Sciences

Received:2005-08-20 Revised:1900-01-01 Online:2005-10-24 Published:2005-10-24

摘要/Abstract

摘要：

目的探讨超声心动图产前诊断胎儿三尖瓣下移畸形的临床价值。方法回顾性分析5例胎儿三尖瓣下移畸形(经胎儿心脏超声检查诊断)的超声图像与随访结果,分析各切面的二维声像和彩色多普勒血流特点。结果 5例胎儿经尸解均证实为三尖瓣下移畸形;胎儿三尖瓣下移畸形的主要声像学特点是三尖瓣下移至右心室,右心房增大,三尖瓣严重反流,反流起源点降低。结论产前应用胎儿超声心动图诊断胎儿三尖瓣下移畸形具有很大的临床价值。

关键词: 胎儿超声心动图, 三尖瓣下移畸形

Abstract:

Objective To investigate the clinical value of prenatal diagnosis of fetal Ebstein anomaly by echocardiography.Methods Retrospective analyses of 2D-heart views and CDFI(color Doppler flow image) as well as the follow-up findings were made in 5 cases with fetal Ebstein anomaly.Results 5 cases fetal Ebstein anomaly were proved by autopsy;The image features were enlarged right atrium and downward displacement of tricuspid valve in the right ventricle.The deformed tricuspid valve allows a large amount of blood to regurgitate from the right ventricle to the right atrium when the right ventricle contracts.Conclusion echocardiography has very important clinical value in diagnosis of fetal Ebstein anomaly.

Key words: echocardiography, fetal Ebstein anomaly

中图分类号:

R714.53

吴青青;姚苓;陈焰. 超声心动图诊断胎儿三尖瓣下移畸形[J]. 首都医科大学学报, 2005, 26(5): 582-584.

Wu Qingqing;Yao Ling;Chen Yan. Diagnosis of Fetal Ebstein Anomaly by Echocardiography[J]. Journal of Capital Medical University, 2005, 26(5): 582-584.