Clinical Application in Diagnosis of Fetal Congenital Heart Disease by Fetal Venous Catheter Spectrum
with Ultrasonic Detection

Abstract

Abstract:

Objective: To evaluate the clinical application of fetal venous catheter in diagnosis of fetal congenital heart disease with
different gestational age. Methods: 4 060 cases of fetal venous catheter flow parameters were detected in 11 to 40 gestational weeks,
including PVD（ventricular systole peak velocity）, PVS（ventricular diastolic peak flow velocity）, PVA（atrial systolic maximum
velocity）, PI（pulsatility index）, RI（the resistance index）, PVIV（venous peak velocity index）and S/A. Results: 26 cases of
abnormal venous frequency spectrum were detected by ultrasonic examination, all of them were diagnosed with the fetal congenital
heart disease. A waves of venous catheter were inversed in 16 cases and were missed in 10 case. The diagnosis was completely in
accordance with the autopsy or the neonatal cardiac ultrasonic contrast. Conclusion: The ultrasonic detection of fetal venous catheter
spectrum was an effective method for diagnosis of fetal congenital heart disease.

Key words: fetal congenital heart disease, ultrasonography, venous catheter spectrum

CLC Number:

R445.1

Wu Wenxia, Li Peixuan, Xiong Deqing, Shen Junling, Li Hong. Clinical Application in Diagnosis of Fetal Congenital Heart Disease by Fetal Venous Catheter Spectrum
with Ultrasonic Detection[J]. , 2017, 2(2): 67-69.

References

〔1〕刘子健.妊娠中期超声检查的软性标志物〔J〕.中国产前
诊断杂志，2010，13（2）：1-2.
〔2〕周荣生.彩色多普勒超声在孕晚期胎儿预后判断中的应
用价值〔J〕.当代医学，2014，22（14）：141-142.
〔3〕韦丽萍，李芳. 胎儿先天性心脏病的产前超声诊断分
析〔J〕.当代医学，2012，18（10）：96.
〔4〕张静，周启昌. 超声检测胎儿静脉导管血流频谱的作
用〔J〕. 中国妇幼保健，2002，16（4）：61-62.
〔5〕KISERUD T，EIK-NES S H，HELLEVLK L R. et al. Duc?
tus venousus a longitudinaI Doppler velocimetdc study of
the human fetus〔J〕. J Matern Fetal Invest，1992，2（1）：
5-14.
〔6〕HUISMAN T W A，STEWART P A，WLADIMIROFF J W.
Ductus venosus blood flow velocity waveforms in the human
fetus-A Dopple Study〔J〕.Ultrasound Med Biol，1992，18：
33-37.
〔7〕KISERUD T，RASMUSSEN S，SKULSTAD S.Blood flow
and the degree of shunting through the ductus venosus in
the human fetus〔J〕.Am J Obstet Gynecol，2000，182：147-
153.
〔8〕SHERE D M，FROMBERG R A，DIVON M Y.Prenatal ul?
trasonographic assessment of the ductus venosus：re?
view〔J〕.Obstet Gynecol，1996，88：626-632.
〔9〕KISERUD T，HELLEVIK L R，HANSON M A.The blood
velocity profile in the ductus venosus inlet expressed by the
mean/maximum velocity ratio〔J〕. Ultrasound Med Biol，
1998，24：1301-1306.
〔10〕赵一理，蔡爱露，张颖，等. 肺动脉狭窄胎儿静脉导管的
血流勒特征〔J〕. 中国医学影像技术，2010，26（7）：
1314-1316.
〔11〕MATIAE A，HUGGON I，AREIAS J C，et al. Cardiacde?
fect in Chromosomally normal fetus with ab-normal ductus
venosus flow at 10-14 weeks〔J〕. Ultrasound Obstet Gyne?
col，1999，14：307-310．
〔12〕韩建成，何怡华，张烨，等.中晚孕期胎儿静脉导管A波
倒置与胎儿心脏畸形〔J〕. 中国介入影像与治疗学，
2014，14（2）：100-102.

[1]	CaoYa,Yang Lichun. Correlation of Ultrasound Morphologic Features with the Expressions of CerbB-2,Ki67 and P53 in Breast Carcinoma [J]. J4, 2016, 1(8): 70-75.
[2]	Ma Hongmei, Li Yulan, Ji Shoulian. Analysis of Early Ectopic Pregnancy by Transvaginal Ultrasonography [J]. J4, 2016, 1(4): 78-79.
[3]	Hu Guobing, Zhu Xiangming, Li Guojie, Jiang Feng. High-Frequency Ultrasonic Features of the Submandibular Triangle Masses in 75 Cases [J]. J4, 2016, 15(2): 58-41.
[4]	Zhang Xiaodong, Li Bao. Clinical Application of Ultrasonic Diagnosis of Articular Synovitis in Hand [J]. J4, 2016, 15(2): 62-64.
[5]	ZHOU Xuanyi, BAI Jianning, WU Qin, QIAN Yi. Value of High Frequency Ultrasonography in the Diagnosis of Peripheral Nerve Injury [J]. J4, 2014, 13(10): 61-63.
[6]	WU Wen-Xia, XU Yong-Lian, XIONG De-Qing, LI Hong, FANG Qian. Prenatal Ultrasound Diagnosis of Fetal Limb Skeletal System Malformations [J]. J4, 2011, 10(8): 73-75.