中晚孕期胎儿静脉导管和脐静脉血流量参考范围.pdfVIP

· 842· 中华超声影像学杂志2006年1 旦箜 鲞筮 塑 』 ! !! !!! !! ： !! ： 旦 ． 临床研究 · 中晚孕期胎儿静脉导管和脐静脉血流量 参考范围 艾红 鱼博浪 尹益民 苏继莲 任晓萍 潘文倩 何跟山 【摘要】 目的 建立中晚孕期正常胎儿静脉导管和脐静脉血流量参考范围，计算脐血流人静脉导管 的百分比。方法 应用彩色多普勒超声检查138例16~41孕周正常单胎胎儿，记录静脉导管和脐静脉血 流波形，测定最大血流速度计算血流量。结果 静脉导管血流量随着孕龄增加而增加(P【)．01)，对应于 体质量则随着孕龄增加而减低(P0．【)1)。脐静脉血流速、血管管径、血流量随孕龄增加而增加(P 0．05，P0．【)1，P【)．()1)，对应于体质量脐静脉血流量随着孕龄增加而减低(P【)．【)1)。静脉导管与 脐静脉血流量(Qdv／Quv)之比随着妊娠进展而减低(P【)．【)1)。平均43％脐血流人静脉导管。结论 中晚孕期胎儿脐血流人静脉导管随着妊娠进展而减低，静脉导管在分流含氧高的血到脑和心肌起着次要 作用。 【关键词】 超声检查，产前；脐静脉；静脉导管；血液动力学现象 Reference ranges of fetal ductus venous and umbilical vein flow during second and third trimester AI Hong， yU Bo—lang，yJN Yi—rain，SU Ji—lian，REN Xiao-ping，PAN Wen—qian，HE Gen shan．Department of Ultrasonography，First Affiliated Hospital，Medical College of Xi an Jiaotong University，Xi an 710061，China [Abstract] 0bjective To establish reference ranges with gestation for blood flow of fetal ductus venosus(DV)and umbilical vein(UV)and determine the fraction of umbilical blood shunted through the DV in the human fetus．Methods Color Doppler flow ultrasound was used tO examine 1 38 normal singleton pregnancies at 16～41 weeks gestation．Flow velocity waveforms were recorded from the DV and UV．Peak velocity during ventricular systole was measured at DV inlet．DV and UV blood flow were calculated． Results The blood flow increased as pregnancy progressed(P0．【)1)，while blood flow per kilogram of estimated body weight calculated for DV decreased as pregnancy progressed(P 0．01)．The blood velocity，the diameter and the blood flow in UV increased as pregnancy progressed(P【)．05，P【)．【)1， P 0．【)1)．Blood flow per kilogram of estimated body weight calculated for UV decreased pregnancy progressed(P 0．【)1)．Qdv／Quv ratio decreased as pregnancy progressed(P0．【)1)．The average fraction shunted through the DV was 43 during the second and t