中国临床医学影像杂志2024,Vol.35Issue(5) :351-354.DOI:10.12117/jccmi.2024.05.011

HD-Flow联合STIC在胎儿肺动脉闭锁合并室间隔缺损诊断中的应用价值

Diagnostic value of HD-Flow combined with STIC in fetal pulmonary atresia with ventricular septal defect

吴温瑞 李天刚 马斌 燕志恒 王瑷琳 韩苗苗 杨天顺
中国临床医学影像杂志2024,Vol.35Issue(5) :351-354.DOI:10.12117/jccmi.2024.05.011

HD-Flow联合STIC在胎儿肺动脉闭锁合并室间隔缺损诊断中的应用价值

Diagnostic value of HD-Flow combined with STIC in fetal pulmonary atresia with ventricular septal defect

吴温瑞 1李天刚 2马斌 2燕志恒 2王瑷琳 1韩苗苗 2杨天顺2
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作者信息

  • 1. 甘肃中医药大学第一临床医学院,甘肃兰州 730000
  • 2. 甘肃省妇幼保健院超声医学中心,甘肃兰州 730000
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摘要

目的:探讨高分辨率血流成像(HD-Flow)联合时间-空间复合成像(STIC)诊断胎儿肺动脉闭锁合并室缺(PA-VSD)的临床价值.方法:分析经胎儿超声心动图诊断的44例PA-VSD胎儿心脏二维、HD-Flow联合STIC图像,评估HD-Flow联合STIC在PA-VSD不同分型诊断中的效能,并探讨PA-VSD胎儿动脉导管内径与左、右肺动脉内径相关性.结果:HD-Flow联合STIC诊断44例PA-VSD,其中A型42例,C型2例.HD-Flow联合STIC能够清晰显示胎儿肺动脉及其分支血管及动脉导管血流;Pearson相关性分析表明A型动脉导管内径和左、右肺动脉内径均呈正相关(r=0.507、0.404,P<0.01).结论:HD-Flow联合STIC能够明确诊断PA-VSD并分型,有较大的临床应用价值,A型PA-VSD胎儿动脉导管内径与左、右肺动脉内径存在正相关.

Abstract

Objective:To investigate the clinical value of high-definition flow(HD-Flow)combined with spatiotemporal im-age correlation(STIC)in the diagnosis of fetal pulmonary atresia with ventricular septal defect(PA-VSD).Methods:The two-di-mensional images and HD-Flow combined with STIC images of 44 PA-VSD fetuses diagnosed by fetal echocardiography were analyzed,so as to evaluate the efficacy of HD-Flow combined with STIC in the diagnosis of different subtypes of PA-VSD,the relationship between the inner diameter of PA-VSD fetal ductus arteriosus and the inner diameters of left and right pul-monary artery was studied.Results:HD-Flow combined with STIC diagnosis was performed in 44 cases,including 42 cases of type A and 2 cases of type C.HD-Flow combined with STIC can clearly display the fetal pulmonary artery and its branches and ductus arteriosus blood flow.Pearson correlation analysis showed that the A-type ductus diameter was positively correlated with the left and right pulmonary artery diameters(r=0.507,0.404,P<0.01).Conclusion:HD-Flow combined with STIC can clearly diagnose PA-VSD and classify it,which has great clinical application value.There is a positive correlation between the diameter of fetal ductus arteriosus and the diameters of left and right pulmonary artery in type A PA-VSD.

关键词

肺动脉瓣闭锁/胎儿/室间隔缺损/超声检查,多普勒,彩色

Key words

Pulmonary Atresia/Fetus/Heart Septal Defects,Ventricular/Ultrasonography,Doppler,Color

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基金项目

甘肃省卫生健康委青年人才计划(GSWSQN2021-006)

出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCD北大核心
影响因子:1.204
ISSN:1008-1062
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