tapse与fac评价正常中晚孕胎儿右心室收缩功能.docVIP

精品论文 参考文献 TAPSE与FAC评价正常中晚孕胎儿右心室收缩功能 徐长莹 　　（浙江萧山医院超声科 浙江 杭州 311202） 　　【摘要】 目的：利用三尖瓣环位移（tricuspid annular plane systolic excursion，TAPSE）和面积变化分数（fractional area change，FAC）评估正常中晚孕胎儿右心室（right ventricle, RV）收缩功能。方法：分别测量165例正常中晚孕胎儿TAPSE、右心室舒张期末面积（right ventriclar end-diastolic area，RVEDA）及右心室收缩期末面积（right ventriclar end-systolic area，RVESA），计算RV FAC，并观察其与孕周的关系。结果：胎儿TAPSE、RVEDA及RVESA随孕周增加而增加（P＜0.05），RV FAC与孕周无明显相关性（P＞0.05）。 结论：胎儿TAPSE与RV FAC能简便准确的评估右室收缩功能，尤其适用于基层医院。 　　【关键词】超声心动描记术；胎儿；心室功能 　　【中图分类号】R749 【文献标识码】A 【文章编号】2095-1752（2015）10-0104-03 　　 Assessment of fetal right ventriclar systolic function using tricuspid annular plane systolic excursion and fractional area change 　　【Abstract】 Objective To quantitatively study fetal right ventriclar systolic function in the normal second and third trimester fetuses by tricuspid annular plane systolic excursion and fractional area change. Methods 165 healthy fetuses were divided into 5 groups according to the gestational age．To measue tricuspid annular plane systolic excursion(TAPSE）, right ventriclar end-diastolic area(RVEDA）and right ventriclar end-systolic area(RVESA）, and right ventriclar fractional area change(RV FAC）was calculated, then the correlation between above parameters and gestational age was evaluated. Results In normal second and third trimester fetuses，the TAPSE, RVEDA and RVESA were increased with the growth of GA（P＜0.05）, whereas RV FAC was stable throughout gestation(Pgt;0.05)． TAPSE and RV FAC were not correlated with HR(Pgt;0.05)． Conclusions Both TAPSE and RV FAC could be simply and accurately measured to evaluate fetal right ventriclar systolic function, and could be propitious to use in countryside hospitals because of lower requirement on the equipment． 　　【Key words】Echocardiography；Fetus；Ventricular function 　　前言 　　右心室解剖结构复杂，对其收缩功能的评估一直是研究的热点和难点，对于成人的右室收缩功能的评估已有一些较为成熟的方法[1]。由于胎儿循环生理的特殊性，右室在循环过程中的作用更为重要，准确评价胎儿右室收缩功能对于处理胎儿各种发育异常和判断预后均至关重要。综合目前的一些研究，评估胎儿右室收缩功能的