产前超声诊断胎儿法洛四联症的价值及体会.pdfVIP

·191· ·经验交流· 产前超声诊断胎儿法洛四联症的价值及体会 魏亚娟刘保民 贾玄慧 摘 要 目的探讨胎儿超声心动图对单纯及复杂法洛四联症(TOF)的产前诊断价值。方法回顾性分析23例经 超声心动图诊断为胎儿TOF的声像图表现及随访资料。结果单纯TOF19例，表现为室问隔缺损、肺动脉狭窄和主动脉 骑跨。复杂TOF4例，包括：①TOF合并肺动脉闭锁2例：表现为右室流出道为盲端，肺动脉细窄、不易显示，肺动脉及动脉 导管内逆向血流；@rOF合并肺动脉瓣缺如2例：表现为肺动脉主干、分支瘤样扩张，肺动脉瓣反流等。结论超声心动图 产前诊断胎儿TOF及其分型具有较大的临床价值，并可动态观察其右室流出道梗阻、肺动脉及其瓣膜的发育及进展情况。 关键词超声心动描记术；法洛四联症，胎儿 [中图法分类号]R714．53；R540．45[文献标识码]A Valueand of in offetal ofFallot diagnosisTetralogy insightechocardiographyprenatal WEI Xuanhui Baomin，JIA Yajuan，LIU ofUltrasound，the ofXi’an 710004，China Department SecondHospitalJiaotongUniversity，Xi’an ABSTRACT To thevalueoffetal in of and Objectiveexplore echocardiographyprenataldiagnosissimplecomplex The manifestationand ofFallot(TOF)．Methodstwo—dementional features，color Tetralogy echocardiographyDoppler follow—up dataof23casesofTOF were reviewed．ResultsNinteencasesoffetalTOFwere diagnosedbyechocardiographyretrospectively ventricular stenosisand aortic．4cases TOFwithoutothermalformations，characterized simple by septaldefect，pulmonaryoverriding athinand whichwasdifficultto were caseswith atresia，characterized complexTOF，inclu