胎儿左心房主要结构形态学观测.docVIP

胎儿左心房主要结构形态学观测 作者：王蒲雄志,雒国胜,申彪,朱闯,范会军,王 单位：1.新乡医学院基础医学院本科2004级,河南 新乡2.新乡医学院心脏形态研究室,河南 新乡 【摘要】 目的 观测胎儿左心房主要结构并探讨其变化规律，为先天性心脏病的诊断和手术治疗提供形态学依据。方法 40例胎心标本按胎龄大小分为4组，观测左心房的主要结构（左肺静脉口径、右肺静脉口径、左房室口径、左房壁厚度）。结果 胎儿左心房呈不规则椭圆形，颜色灰白且呈半透明薄膜状，质地较软。左肺静脉、右肺静脉、左房壁厚度、左房室口径分别为：（0.40plusmn;0.08）cm、（0.43plusmn;0.05）cm、(0.05plusmn;0.01)cm、(0.69plusmn;0.15)cm。结论 左心房壁厚度随胎龄的增长变化不规则，左肺静脉口径、右肺静脉口径和左房室口径随胎龄的增长而增大。 【关键词】 左心房 肺静脉 胎儿 基金项目：新乡医学院大学生科研项目（2005） 　　Morphological observation and measurement of main structures of fetal left atrium　　ANGPU Xiongzhi,LUO Guosheng,SHEN Biao,et al　　1.Grade 2004,Xinxiang Medical College,Xinxiang 453003,China 　　2.Cardiac Morphological Research Room,Xinxiang Medical College,Xinxiang 453003,China Abstract: Objective To offer some morphological bases for diagnosis and surgical treatment of congenital heart disease by observing and measuring the main structure of fetal left atriums and investigating their changing regulations.Methods 40 cases of fetal hearts were divided into 4 groups according to the different gestational ages.The main structures of fetal left atriums were observed and measured (the diameter of left pulmonary vein,right pulmonary vein and the atrioventricular orifice，the thickness of left atrial wall).Results The morphological characteristic of fetal left fetal atriums were irregular ellipse，pale color，semitransparent pellicle and soft texture.The diameter of left pulmonary vein,right pulmonary vein and atrioventricular orifice and the thickness of left atrial wall were (0.40plusmn;0.08)㎝,(0.43plusmn;0.05)㎝,(0.05plusmn;0.01)㎝,(0.69plusmn;0.15)㎝respectively.Conclusions The diameter of left pulmonary vein,right pulmonary vein and the atrioventricular orifice of left atriums get bigger with the increase of gestational ages while the thickness of left atrial wall changes irregularly. 　　Key words: left atrium left pulmonary vein fetus 先天性心脏病是婴幼儿常见和致死的主要原因，在诊断和矫治先天性心脏病的过程中经常遇到的问题是缺少可对比的正常范围数据［1］。目前，国外研究先天性心脏病的治疗手段已趋于宫内治疗［2］，在妊娠早期进行干预能降低手术风险。有关胎儿心脏的大