本文關(guān)鍵詞：超聲心動(dòng)圖診斷胎兒肺動(dòng)脈狹窄的產(chǎn)前及產(chǎn)后對(duì)照分析　出處：《航空航天醫(yī)學(xué)雜志》2017年11期 　論文類型：期刊論文

  更多相關(guān)文章： 胎兒 肺動(dòng)脈狹窄產(chǎn) 超聲心動(dòng)圖 臨床分析

【摘要】：目的超聲心動(dòng)圖診斷胎兒肺動(dòng)脈狹窄的產(chǎn)前及產(chǎn)后對(duì)照分析。方法運(yùn)用數(shù)字隨機(jī)選擇的方式,從2015年5月-2017年5月接收疑似為胎兒肺動(dòng)脈狹窄的患者中,抽取50例進(jìn)行研究,分析患者產(chǎn)前、產(chǎn)后的超聲心動(dòng)圖變化情況。結(jié)果 50例產(chǎn)前疑似胎兒肺動(dòng)脈狹窄患者產(chǎn)后超聲心動(dòng)圖提示41例存在肺動(dòng)脈狹窄,所占比例是82.0%,與產(chǎn)前對(duì)比存在統(tǒng)計(jì)學(xué)差異,P0.05,其中肺動(dòng)脈瓣狹窄為31例,所占比例是75.61%,肺動(dòng)脈主干狹窄為10例,所占比例是24.39%,胎兒肺動(dòng)脈狹窄主要為肺動(dòng)脈瓣狹窄與肺動(dòng)脈主干狹窄,前者所占比例最高,與后者比較有顯著差異,P0.05。結(jié)論胎兒肺動(dòng)脈狹窄的產(chǎn)前及產(chǎn)后的血流特征較為典型,產(chǎn)后加強(qiáng)超聲心動(dòng)圖檢查,能夠顯著提升臨床診斷結(jié)果的準(zhǔn)確率,有利于評(píng)估后期的預(yù)后治療效果。
[Abstract]:Objective comparative analysis of prenatal and postnatal echocardiography diagnosis of fetal pulmonary stenosis. Methods by using digital random selection method from May 2015 -2017 May receiving suspected fetal pulmonary artery stenosis patients, selected 50 cases of patients, analysis of prenatal, postnatal echocardiography. Results 50 cases of suspected prenatal fetus pulmonary artery stenosis in patients with postpartum echocardiography in 41 patients with pulmonary artery stenosis, the proportion is 82%, there was significant difference compared with prenatal P0.05, including pulmonary valve stenosis in 31 cases, the proportion is 75.61%, the main pulmonary artery stenosis in 10 cases, the proportion was 24.39%, fetal pulmonary artery stenosis as the main trunk of pulmonary artery stenosis and pulmonary artery stenosis, the highest proportion, there was significant difference compared with the latter, P0.05. conclusion fetal pulmonary artery stenosis in antepartum and postpartum blood flow characteristics As a typical case, postpartum echocardiography can significantly improve the accuracy of the clinical diagnosis and evaluate the effect of the later prognosis.

【作者單位】： 福建醫(yī)科大學(xué)附屬寧德市醫(yī)院超聲醫(yī)學(xué)科;
【分類號(hào)】：R540.45;R714.5
【正文快照】： 先天性心臟病屬于臨床常見(jiàn)疾病,而在眾多先天性心臟疾病中大約有12-18%為肺動(dòng)脈狹窄,該病指的是患者的肺動(dòng)脈瓣以及主肺動(dòng)脈等存在先天性的狹窄,在臨床中極為常見(jiàn)。通常情況下,肺動(dòng)脈狹窄患兒的血流較為特殊,臨床診斷相對(duì)困難,特別是對(duì)于部分胎兒輕度中度肺動(dòng)脈狹窄的診斷難度

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