Tei指数评价水肿胎儿心室功能的定量研究.pdfVIP

实用医学影像杂志2009 年第 10 卷第2 期 JPMI,2009,Vol．10,No．2 · · 119 Tei 指数评价水肿胎儿心室功能的定量研究 1 2 3 陈莞春 ，段学蕴 ，付文金 （1.广东医学院附属东莞厚街医院超声室，广东 东莞 523945；2.西安交通大学附属二院超声室；3.与第一作者同一医院检验科） 【摘 要】 目的 探讨Tei 指数评价水肿胎儿心室功能的可行性。方法 应用多普勒超声心动图测量17 名孕龄在20～39 周 的水肿胎儿及55 名孕龄在28～40 周正常对照胎儿左、右心室多普勒时间间期，获得左、右心室Tei 指数，比较水肿胎儿组与正常对 照组Tei 指数有无差异性。结果 水肿胎儿组左、右心室Tei 指数与正常对照组有差异性（P0.01）。结论 Tei 指数能简便、敏感地 评估胎儿心脏整体收缩、舒张功能。 【关键词】 Tei 指数；水肿胎儿；心室功能；胎儿超声心动图 【中图分类号】R445．1 ；R714．51 【文献标识码】A 【文章编号】1009-6817 （2009）02-0119-03 Quantitative study of Tei index for evaluating global cardiac ventricular function in hydropic fetuses Chen Guanchun,Duan Xueyun ,Fu Wenjin.Department of Ultrasound,Affiliated Dongguan Houjie Hospital of Guangdong Medical College,Dongguanshi 523945, China 【Abstract 】 Objective To study the feasibility of Tei index for evaluating global cardiac ventricular function in the hydropic fetus－ es.Methods The Doppler echocardiographic measurements were performed in 17 hydropic fetuses with embryonic age for 20-39 weeks and 55 normal fetuses with embryonic age for 28-40 weeks.Tei index was obtained by calculating the ratio of isovolumic contraction time (ICT) and isovolumic relaxation time (IRT)vs the ejection time (ET) of the left and right ventricle.The value of Tei index measured in hy－ dropic fetuses was compared with that in normal fetuses to determine whether there was difference between the both groups.Results The comparison of Tei index between hydropic fetus group and normal fetus group was statistically significant difference(P0.001).Conclusion Tei index can simply-convenitly a