彩色多普勒超声对中晚孕胎儿大脑中动脉血流速度参数的测量_West China Medical Journal

Authors：

程桂静 ¹ , 周柳英 ¹ ,  杨太珠 ²

1. ;
2. ;

Corresponding author：

杨太珠, Email: ytaizhu@sina.com

Keywords：

胎儿; 大脑中动脉; 收缩期峰值流速; 超声检查

DOI：

10.7507/1002-0179.201507139

Video：

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目的探讨 20～40 孕周正常单胎胎儿大脑中动脉（middle cerebral artery，MCA）血流速度参数正常值范围及其与孕周的关系。方法选择 2013 年 10 月—2014 年 10 月行产前超声检查的孕妇。运用脉冲多普勒技术检测 20～40 孕周正常单胎胎儿的 MCA，并获得其收缩期峰值流速（peak systolic velocity，PSV）及舒张末期血流速度（end diastolic velocity，EDV）。结果最终纳入正常单胎 MCA 检测的研究对象共 542 例。20～40 孕周正常单胎胎儿的 MCA-PSV 范围为 22.20～55.47 cm/s，MCA-EDV 范围为 5.08～14.80 cm/s。20～40 孕周正常单胎胎儿 MCA-PSV 及 EDV 与孕周呈正相关（r=0.731、0.597，P<0.05）。结论初步建立了 20～40 孕周正常单胎胎儿 MCA 的速度参数的正常参考值范围及其与孕周关系。

Citation： 程桂静, 周柳英, 杨太珠. 彩色多普勒超声对中晚孕胎儿大脑中动脉血流速度参数的测量. West China Medical Journal, 2017, 32(6): 894-896. doi: 10.7507/1002-0179.201507139 Copy

1.	蒋伟丽, 曹传祥, 牛爱玲, 等. 早期干预对新生儿缺氧缺血性脑病预后的影响. 中国实用神经疾病杂志, 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, 吕国荣, 唐力. 多普勒超声检测大脑中动脉收缩期峰值流速与胎儿贫血. 中国医学影像技术, 2010, 26(2): 310-312.
4.	高新茹, 王颖金, 张喻, 等. 中晚孕期正常胎儿大脑中动脉血流动力学研究. 中国医学影像学杂志, 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.	Lubuský M, Procházka M, Santavý 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, 赵玉珍, 关莹, 等. 胎儿大脑中动脉血流峰值流速与血红蛋白含量相关性研究. 中国超声医学杂志, 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. 蒋伟丽, 曹传祥, 牛爱玲, 等. 早期干预对新生儿缺氧缺血性脑病预后的影响. 中国实用神经疾病杂志, 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, 吕国荣, 唐力. 多普勒超声检测大脑中动脉收缩期峰值流速与胎儿贫血. 中国医学影像技术, 2010, 26(2): 310-312.
4. 高新茹, 王颖金, 张喻, 等. 中晚孕期正常胎儿大脑中动脉血流动力学研究. 中国医学影像学杂志, 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. Lubuský M, Procházka M, Santavý 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, 赵玉珍, 关莹, 等. 胎儿大脑中动脉血流峰值流速与血红蛋白含量相关性研究. 中国超声医学杂志, 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

彩色多普勒超声对中晚孕胎儿大脑中动脉血流速度参数的测量

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