彩色多普勒超聲對中晚孕胎兒大腦中動脈血流速度參數的測量_West China Medical Journal

Authors：

程桂靜 ¹ , 周柳英 ¹ ,  楊太珠 ²

1. ;
2. ;

Corresponding?author：

楊太珠, Email: ytaizhu@sina.com

Keywords：

胎兒; 大腦中動脈; 收縮期峰值流速; 超聲檢查

DOI：

10.7507/1002-0179.201507139

Video：

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目的探討 20～40 孕周正常單胎胎兒大腦中動脈（middle cerebral artery，MCA）血流速度參數正常值范圍及其與孕周的關系。方法選擇 2013 年 10 月—2014 年 10 月行產前超聲檢查的孕婦。運用脈沖多普勒技術檢測 20～40 孕周正常單胎胎兒的 MCA，并獲得其收縮期峰值流速（peak systolic velocity，PSV）及舒張末期血流速度（end diastolic velocity，EDV）。結果最終納入正常單胎 MCA 檢測的研究對象共 542 例。20～40 孕周正常單胎胎兒的 MCA-PSV 范圍為 22.20～55.47 cm/s，MCA-EDV 范圍為 5.08～14.80 cm/s。20～40 孕周正常單胎胎兒 MCA-PSV 及 EDV 與孕周呈正相關（r=0.731、0.597，P<0.05）。結論初步建立了 20～40 孕周正常單胎胎兒 MCA 的速度參數的正常參考值范圍及其與孕周關系。

Citation： 程桂靜, 周柳英, 楊太珠. 彩色多普勒超聲對中晚孕胎兒大腦中動脈血流速度參數的測量. West China Medical Journal, 2017, 32(6): 894-896. doi: 10.7507/1002-0179.201507139 Copy

1.	蔣偉麗, 曹傳祥, 牛愛玲, 等. 早期干預對新生兒缺氧缺血性腦病預后的影響. 中國實用神經疾病雜志, 2006, 9(5): 45-46.
2.	Mari G. Middle cerebral artery peak systolic velocity for the diagnosis of fetal anemia: the untold story. Ultrasound Obstet Gynecol, 2005, 25(4): 323-330.
3.	侯敏, 呂國榮, 唐力. 多普勒超聲檢測大腦中動脈收縮期峰值流速與胎兒貧血. 中國醫學影像技術, 2010, 26(2): 310-312.
4.	高新茹, 王穎金, 張喻, 等. 中晚孕期正常胎兒大腦中動脈血流動力學研究. 中國醫學影像學雜志, 2011, 19(5): 341-345.
5.	Detti L, Oz U, Guney I, et al. Doppler ultrasound velocimetry for timing the second intrauterine transfusion in fetuses with anemia from red cell alloimmunization. Am J Obstet Gynecol, 2001, 185(5): 1048-1051.
6.	Lubusky M, Procházka M, Santavy J, et al. Actual management of pregnancies at risk for fetal anemia. Ceska Gynekol, 2006, 71(4): 272-280.
7.	Scheier M, Hernandez-Andrade E, Carmo A, et al. Prediction of fetal anemia in rhesus disease by measurement of fetal middle cerebral artery peak systolic velocity. Ultrasound Obstet Gynecol, 2004, 23(5): 432-436.
8.	南瑞霞, 趙玉珍, 關瑩, 等. 胎兒大腦中動脈血流峰值流速與血紅蛋白含量相關性研究. 中國超聲醫學雜志, 2013, 29(12): 1102-1104.
9.	Slaghekke F, Pasman S, Veujoz M, et al. Middle cerebral artery peak systolic velocity to predict fetal hemoglobin levels in twin anemia-polycythemia sequence. Ultrasound Obstet Gynecol, 2015, 46(4): 432-436.
10.	Mari G, Hanif F, Kruger M, et al. Middle cerebral artery peak systolic velocity: a new doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol, 2007, 29(3): 310-316.

1. 蔣偉麗, 曹傳祥, 牛愛玲, 等. 早期干預對新生兒缺氧缺血性腦病預后的影響. 中國實用神經疾病雜志, 2006, 9(5): 45-46.
2. Mari G. Middle cerebral artery peak systolic velocity for the diagnosis of fetal anemia: the untold story. Ultrasound Obstet Gynecol, 2005, 25(4): 323-330.
3. 侯敏, 呂國榮, 唐力. 多普勒超聲檢測大腦中動脈收縮期峰值流速與胎兒貧血. 中國醫學影像技術, 2010, 26(2): 310-312.
4. 高新茹, 王穎金, 張喻, 等. 中晚孕期正常胎兒大腦中動脈血流動力學研究. 中國醫學影像學雜志, 2011, 19(5): 341-345.
5. Detti L, Oz U, Guney I, et al. Doppler ultrasound velocimetry for timing the second intrauterine transfusion in fetuses with anemia from red cell alloimmunization. Am J Obstet Gynecol, 2001, 185(5): 1048-1051.
6. Lubusky M, Procházka M, Santavy J, et al. Actual management of pregnancies at risk for fetal anemia. Ceska Gynekol, 2006, 71(4): 272-280.
7. Scheier M, Hernandez-Andrade E, Carmo A, et al. Prediction of fetal anemia in rhesus disease by measurement of fetal middle cerebral artery peak systolic velocity. Ultrasound Obstet Gynecol, 2004, 23(5): 432-436.
8. 南瑞霞, 趙玉珍, 關瑩, 等. 胎兒大腦中動脈血流峰值流速與血紅蛋白含量相關性研究. 中國超聲醫學雜志, 2013, 29(12): 1102-1104.
9. Slaghekke F, Pasman S, Veujoz M, et al. Middle cerebral artery peak systolic velocity to predict fetal hemoglobin levels in twin anemia-polycythemia sequence. Ultrasound Obstet Gynecol, 2015, 46(4): 432-436.
10. Mari G, Hanif F, Kruger M, et al. Middle cerebral artery peak systolic velocity: a new doppler parameter in the assessment of growth-restricted fetuses. Ultrasound Obstet Gynecol, 2007, 29(3): 310-316.

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West China Medical Journal

彩色多普勒超聲對中晚孕胎兒大腦中動脈血流速度參數的測量

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