超声eFLow 功能在胎儿张力型及非张力型卵圆瓣血流速度测定中的临床应用.docVIP

精品论文 参考文献 超声eFLow 功能在胎儿张力型及非张力型卵圆瓣血流速度测定中的临床应用 屠荣芝杨成 （德州市德城区妇幼保健院特检科253017） 【摘要】目的：探讨超声eFLow功能在胎儿张力型及非张力型卵圆瓣血流速度测定中的临床应用。方法：通过二维超声显示胎儿心脏卵圆孔，卵圆瓣长度、形态、活动方向，瓣口大小，将卵圆瓣分为张力型和非张力型，以张力型为研究组，非张力型为对照组，应用彩色多普勒观察血流方向及eFLow功能PW检测卵圆孔血流速度。结果：显示张力型卵圆瓣血流速度高于非张力型卵圆瓣血流速度，通过跟踪随访，胎儿出生后，心脏彩色多普勒检查，张力型卵圆瓣98.07%以上闭合良好，而非张力型卵圆瓣闭合率则在29.54%，其测值可作为评估胎儿出生后心脏发育的一项指标，通过分析两组血流速度特点，发现超声诊断新征象，丰富产前咨询内容。 【关键词】彩色多普勒；eFLow；卵圆瓣；血流速度 【中图分类号】R2 【文献标号】A 【文章编号】1671-8725（2014）12-0157-02 Clinical application of ultrasonic eFLow function in fetal tension type and non tensiontype oval valve flow velocity determinationTu Rongzhi, Yang Cheng（The special inspection of the German city MCH Hospital of Dezhou City, 253017）abstract:Objective:Purpose:Explore the clinical applications of ultrasound the eFlow function in the fetus tension and non-tension oval lobe blood flowvelocity measurement. Method, By two-dimensional ultrasound fetal heart patent foramen ovale flap length, shape, direction of activities, orifice size, ovalflap is divided into tension-type and non-tension, tension-type for the study group, non-tension for controlgroup, color Doppler observe the directionof blood flow and the eFlow function PW measured blood flow velocity of the foramen ovale. Result, Tension oval lobe blood flow velocity is higherthan the non-tension-type oval lobe blood flow velocity, through follow-up, birth, color Doppler examination of the heart, more than 98.07% of tension-type oval flap closed, rather than tensiontype oval flap closure rate at 29.54%, the measured values can be used as an indicator assessment of cardiacdevelopment in the fetus after birth, through the analysis of two sets of blood flow velocity characteristics and found that ultrasound diagnosis of newsigns, enrich the content of prenatal consultation.Key words:Color Doppler、eFLow、Oval flap、Blood flow velocity 胎儿心脏在胚胎发育时，房间隔由原发隔和继发隔融合而形成，继发隔在形成时留有一孔，既卵圆孔。其下部未遮盖的组织称为卵圆孔瓣，胎儿时期，气体和代谢产物的交换是由胎盘完成的，右心室和左心室同处于一个并行的环路中，肺脏