孕11～40周正常胎兒靜脈導管血流頻譜分析_《華西醫學》

作者：

周彩云 ^1,2 , 羅紅 ¹

關鍵詞：

靜脈導管胎兒超聲

DOI：

10.7507/1002-0179.20130077

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目的　分析不同孕周正常胎兒靜脈導管的頻譜特征及血流頻譜參數，得到不同孕周胎兒各頻譜參數的正常參考值范圍。方法　2011年6月－9月檢測記錄不同孕周胎兒的靜脈導管波形及各頻譜參數，統計各頻譜參數的正常參考值范圍，并評估與其孕周的相關性。結果　胎兒靜脈導管的頻譜速度參數與孕周呈正相關，阻力參數與孕周呈負相關，均以11～20周變化趨勢較明顯，其中3.59%的胎兒靜脈導管頻譜出現異常。結論　正常胎兒的靜脈導管血流參數與孕周有較好的相關性，靜脈導管頻譜在孕16周前可出現生理性的異常。

引用本文： 周彩云,羅紅. 孕11～40周正常胎兒靜脈導管血流頻譜分析. 華西醫學, 2013, 28(2): 244-248. doi: 10.7507/1002-0179.20130077 復制

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2.	Teixeira LS, Leite J, Viegas MJ, et al. Ductus venosus doppler velocimetry in the first trimester: a new finding[J]. Ultrasound Obstet Gynecol, 2008, 31(3): 261-265.
3.	裴秋艷, 姜玉新, 齊振紅, 等.正常孕10-19周胎兒靜脈導管彩色血流頻譜的初步探討[J]. 中華超聲影像學雜志, 2005, 14(12): 914-917.
4.	艾紅, 魚博浪, 尹益民, 等.中晚孕期正常胎兒靜脈導管血流參考范圍[J].中國醫學影像技術, 2007, 23(9): 1366-1368.
5.	艾紅,魚博浪,尹益民,等.中晚孕期胎兒靜脈導管和臍靜脈血流量參考范圍[J].中華超聲影像學雜志, 2006, 15(11): 842-845.
6.	Wloch A, Sodowski K, Rozmus-warcholonska W, et al. Doppler study of the peripheral flows in early gestation[J]. J Physiol Pharmacol, 2008, 59(Suppl 4): 77-85.
7.	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.
8.	Marcolin AC, Berezowski AT, Crott GC, et al. Longitudinal reference values for ductus vensous doppler in low-risk pregnancies[J]. Ultrasound Med Biol, 2010, 36(3): 392-396.
9.	Bahlmann F, Wellek S, Reinhardt I, et al. Reference values of ductus venosus low velocities and calculated waveform indices[J]. Prenat Diagn, 2000, 20(8): 623-634.
10.	趙一理. 胎兒先天性心臟病靜脈導管頻譜變化的分析[D]. 沈陽:中國醫科大學, 2010.
11.	Favre R, Cherif Y, Kohler M, et al. The role of fetal nuchal translucency and ductus venosus doppler at 11-14 weeks of gestation in the detection of major congenital heart defects[J]. Ultrasound Obstet Gynecol, 2003, 21(3): 239-243.
12.	Maiz N, Valencia C, Kagan KO, et al. Ductus venosus doppler in screening for trisomies 21, 18 and 13 and turner syndrome at 11-13 weeks of gestation[J]. Ultrasound Obstet Gynecol, 2009, 33(5): 512-517.
13.	Maiz N, Nicolaides KH. Ductus venosus in the first trimester: contribution to screening of chromosomal, cardiac defects and monochorionic twin complications[J]. Fetal Diagn Ther, 2010, 28(2): 65-71.

1. 　Tchirikov M, Schroder HJ, Hecher K. Ductus venosus shunting in the fetal venous circulation: regulatory mechanisms,diagnostic methods and medical importance[J]. Ultrasound Obstet Gynecol, 2006, 27(4): 452-461.
2. 　Teixeira LS, Leite J, Viegas MJ, et al. Ductus venosus doppler velocimetry in the first trimester: a new finding[J]. Ultrasound Obstet Gynecol, 2008, 31(3): 261-265.
3. 　裴秋艷, 姜玉新, 齊振紅, 等.正常孕10-19周胎兒靜脈導管彩色血流頻譜的初步探討[J]. 中華超聲影像學雜志, 2005, 14(12): 914-917.
4. 　艾紅, 魚博浪, 尹益民, 等.中晚孕期正常胎兒靜脈導管血流參考范圍[J].中國醫學影像技術, 2007, 23(9): 1366-1368.
5. 　艾紅,魚博浪,尹益民,等.中晚孕期胎兒靜脈導管和臍靜脈血流量參考范圍[J].中華超聲影像學雜志, 2006, 15(11): 842-845.
6. 　Wloch A, Sodowski K, Rozmus-warcholonska W, et al. Doppler study of the peripheral flows in early gestation[J]. J Physiol Pharmacol, 2008, 59(Suppl 4): 77-85.
7. 　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.
8. 　Marcolin AC, Berezowski AT, Crott GC, et al. Longitudinal reference values for ductus vensous doppler in low-risk pregnancies[J]. Ultrasound Med Biol, 2010, 36(3): 392-396.
9. 　Bahlmann F, Wellek S, Reinhardt I, et al. Reference values of ductus venosus low velocities and calculated waveform indices[J]. Prenat Diagn, 2000, 20(8): 623-634.
10. 　趙一理. 胎兒先天性心臟病靜脈導管頻譜變化的分析[D]. 沈陽:中國醫科大學, 2010.
11. 　Favre R, Cherif Y, Kohler M, et al. The role of fetal nuchal translucency and ductus venosus doppler at 11-14 weeks of gestation in the detection of major congenital heart defects[J]. Ultrasound Obstet Gynecol, 2003, 21(3): 239-243.
12. 　Maiz N, Valencia C, Kagan KO, et al. Ductus venosus doppler in screening for trisomies 21, 18 and 13 and turner syndrome at 11-13 weeks of gestation[J]. Ultrasound Obstet Gynecol, 2009, 33(5): 512-517.
13. 　Maiz N, Nicolaides KH. Ductus venosus in the first trimester: contribution to screening of chromosomal, cardiac defects and monochorionic twin complications[J]. Fetal Diagn Ther, 2010, 28(2): 65-71.

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《華西醫學》

孕11～40周正常胎兒靜脈導管血流頻譜分析

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《華西醫學》

孕11～40周正常胎兒靜脈導管血流頻譜分析

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