中国医科大学学报

中国医科大学学报
  • 中文核心期刊
  • 中国科技核心期刊
  • 中国高校百佳科技期刊
  • BA、CA收录

中国医科大学学报 ›› 2018, Vol. 47 ›› Issue (7): 601-603.doi: 10.12007/j.issn.0258-4646.2018.07.007

• 论著 • 上一篇    下一篇

妊娠中晚期正常胎儿静脉导管入口处内径范围探讨

王磊, 张颖, 蔡爱露   

  1. 中国医科大学附属盛京医院超声科, 沈阳 110004
  • 收稿日期:2018-01-16 出版日期:2018-07-30 发布日期:2018-07-03
  • 通讯作者: 蔡爱露 E-mail:704452403@qq.com
  • 作者简介:王磊(1987-),女,医师,硕士.
  • 基金资助:
    “十二五”国家科技支撑计划项目(2014BAI06B05)

Discussion on the Values of the Inlet Diameter of the Ductus Venosus in Normal Fetuses during the Second and Third Trimester

WANG Lei, ZHANG Ying, CAI Ailu   

  1. Department of Ultrasound, Shengjing Hospital, China Medical University, Shenyang 110004, China
  • Received:2018-01-16 Online:2018-07-30 Published:2018-07-03

摘要: 目的 建立妊娠中晚期正常胎儿静脉导管入口处内径范围。方法 应用彩色多普勒超声显示250例孕18~40周正常单胎胎儿静脉导管,去掉彩色,在二维灰阶图像上测量静脉导管入口处内径。建立各孕周胎儿静脉导管内径范围,并分析其与孕周的关系。结果 18~21周、22~25周、26~29周、30~33周、34~37周、38~40周正常胎儿静脉导管入口处内径分别是(1.2±0.2)mm、(1.5±0.3)mm、(1.7±0.3)mm、(1.9±0.2)mm、(2.0±0.3)mm、(2.2±0.3)mm。胎儿静脉导管入口处内径与孕周正相关(r=0.7,P < 0.05)。结论 妊娠中晚期能够观察到胎儿静脉导管,并能进行管径测量。妊娠中晚期正常胎儿静脉导管入口处内径范围建立可能对早期发现静脉导管异常及静脉导管相关疾病有帮助。正常胎儿静脉导管入口处内径随着孕龄增加而增加。

关键词: 胎儿, 妊娠中晚期, 静脉导管, 管径, 多普勒

Abstract: Objective To establish ranges of the inlet diameter of the ductus venosus (DV) in normal fetuses during the second and third trimesters. Methods Color doppler ultrasound was used to examine 250 normal singleton pregnancies at 18-40 weeks of gestation. The color was removed, the inlet diameter of the DV was measured on the two-dimensional gray-scale image, and its relationship with the gestational week was analyzed. Results At 18-21 weeks, 22-25 weeks, 26-29 weeks, 30-33 weeks, 34-37 weeks, and 38-40 weeks of pregnancy, the average inlet diameter was 1.2±0.2 mm, 1.5±0.3 mm, 1.7±0.3 mm, 1.9±0.2 mm, 2.0±0.3 mm, and 2.2±0.3 mm, respectively. The inlet diameter of the DV was correlated with gestational age(r=0.7, P < 0.05). Conclusion It is possible to observe the DV and measure its diameter during the mid-second trimester. The range of the inlet diameter of the DV may be useful for the early diagnosis of DV-related disease. The inlet diameter of the DV increased with gestational age.

Key words: fetus, pregnancy during second and third trimester, ductus venosus, diameter, doppler

中图分类号: 

  • R714.5
[1] TORVID K. The ductus venosus[J]. Seminars Perinatol,2001,25(1):11-20. DOI:10.1053/sper.2001.22896.
[2] HIDAKA N,SATO Y,KIDO S,et al. Ductus venosus doppler and the postnatal outcomes of growth restricted fetuses with absent end-diastolic blood flow in the umbilical arteries[J]. Taiwan J Obstet Gynecol,2017,56(5):642-647. DOI:10.1016/j.tjog.2017.08.012.
[3] ABELE H,WAGNER P,SONEK J,et al. First trimester ultrasound screening for Down syndrome based on maternal age,fetal nuchal translucency and different combinations of the additional markers nasal bone,tricuspid and ductus venosus flow[J]. Prenat Diagn,2015, 35(12):1182-1186. DOI:10.1002/pd.4664.
[4] TONGPRASERT F,SRISUPUNDIT K,LUEWAN S,et al. Normal reference ranges of ductus venosus doppler indices in the period from 14 to 40 weeks' gestation[J]. Gynecol Obstet Invest,2012,73(1):32-37. DOI:10.1159/000329322.
[5] LEE W,CAVALHO JS,CHAOUI R,et al. Cardiac screening examination of the fetus:guidelines for performing the basic and extended basic cardiac scan[J]. Ultrasound Obstet Gynecol,2006,27(1):107-113. DOI:10.1002/uof.2677.
[6] KISERUD T,RASMUSSEN S. How repeat measurements affect mean diameter of the umbilical vein and the ductus venosus[J]. Ultrasound Obstet Gynecol,1998,11(6):419-425. DOI:10.1046/j.1469-0705.1998.11060419.x.
[7] SERAVALLI V,MILLER JL,BLOCK-ABRAHAM D,et al. Ductus venosus doppler in the assessment of fetal cardiovascular health:an updated practical approach[J]. Acta Obstet Gynecol Scand,2016,95(6):635-644. DOI:10.1111/aogs.12893.
[8] POKHAREL P,ANSARI MA. Fetal ductus venosus pulsatility index and diameter during second and third trimester of gestation[J]. J Nepal Med Assoc,2017,56(205):124-131.
[1] 张宏, 王红梅, 李荣辉, 于韬. 不同方法预防经外周置入中心静脉导管所致静脉炎的临床效果观察[J]. 中国医科大学学报, 2018, 47(8): 753-755.
[2] 马铃, 郭志伟. 术中不同体位对脑血流速率及术后认知功能的影响[J]. 中国医科大学学报, 2018, 47(6): 503-506.
[3] 周巧兰, 于丽杰. 妊娠中晚期胎儿肺动脉超声参数分析[J]. 中国医科大学学报, 2018, 47(5): 411-414.
[4] 张倩, 李芷舒, 张宇明, 王英华, 白璐, 鲁海鸥, 于月新. 反复移植失败患者子宫内膜容受性的超声评价[J]. 中国医科大学学报, 2018, 47(4): 350-354.
[5] 王佳莉,任卫东,王欣,赵梦峤. 超声动脉分析技术评价妊娠期高血压患者的颈动脉 径向应变和应变率[J]. 中国医科大学学报, 2017, 46(8): 686-688.
[6] 何莹,孙亚南,付航羽. 品管圈活动对降低临时性中心静脉导管相关血流性感染发生率的影响[J]. 中国医科大学学报, 2017, 46(4): 365-367.
[7] 于新颖,张娇,赵京雷,范玲. 心房内心电图特征性P波的变异范围及其对经外周置入中心静脉 导管尖端定位的意义[J]. 中国医科大学学报, 2017, 46(11): 1045-1047.
[8] 张颖 ,王彧 ,王美莲. 三维容积超声结合彩色多普勒技术在正常胎儿主动脉弓和头臂血管发出检查中的应用[J]. 中国医科大学学报, 2016, 45(6): 531-534.
[9] 王延海,杨华,郭宝生. 囊实性甲状腺癌与结节性甲状腺肿囊性变的超声鉴别诊断[J]. 中国医科大学学报, 2016, 45(11): 1031-1034.
[10] 于新颖,姜红,范玲. 极低出生体质量儿 PICC 导管相关血流感染的危险因素及早期 临床特点[J]. 中国医科大学学报, 2016, 45(10): 948-951.
[11] 张潇怡, 问文敏, 张添甜, 赵紫薇, 孙光. 老年原发性高血压合并舒张性心力衰竭患者的临床特点分析[J]. 中国医科大学学报, 2015, 44(9): 803-805.
[12] 臧丽娥,隋汝波,张磊,傅德望. 经颅多普勒超声对急性缺血性脑卒中患者颅内外血管狭窄诊断准确性的研究[J]. 中国医科大学学报, 2015, 44(8): 734-737.
[13] 陈昌宇, 解丽梅. 产前超声测量正常胎儿主动脉峡部收缩指数的临床价值[J]. 中国医科大学学报, 2015, 44(6): 516-519.
[14] 寇铁虹,黄崑. 实时剪切波弹性成像技术在评价亚急性甲状腺炎预后中的临床应用[J]. 中国医科大学学报, 2015, 44(2): 174-175.
[15] 刘阳, 陈光磊. PICC个性化护理在恶性肿瘤化疗中的应用[J]. 中国医科大学学报, 2015, 44(10): 947-949.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!

中国医科大学学报版权所有©2018

未经允许,严禁擅自转载本站图文资料

地址:中国 沈阳市沈北新区蒲河路77号 110122

辽ICP备05014850

JOURNAL OF CHINA MEDICAL UNIVERSITY

ADDRESS: NO.77 PUHE ROAD

SHENYANG NORTH NEW AREA, SHENYANG

LIAONING PROVINCE, P.R. CHINA