医学研究与教育 ›› 2019, Vol. 36 ›› Issue (3): 45-49.DOI: 10.3969/j.issn.1674-490X.2019.03.008

• 临床医学 • 上一篇    下一篇

非先天性心脏病胎儿心胸比异常的影像学研究进展

李强1,王淑梅2,周立霞3,周伟娜1   

  1. 1.保定市第一中心医院超声科, 河北 保定 071000;
    2.保定市第一中心医院医学影像科, 河北 保定 071000;
    3.河北医科大学第二医院, 河北 石家庄 050000
  • 收稿日期:2018-09-04 出版日期:2019-06-25 发布日期:2019-06-25
  • 通讯作者: 王淑梅(1963—),女,黑龙江哈尔滨人,主任医师,教授,硕士生导师,主要从事CT 及 MR 诊断。E-mail: Wangshum588@sohu.com
  • 作者简介:李强(1988—),女,河北保定人,主治医师,主要从事胎儿畸形产前诊断。

  • Received:2018-09-04 Online:2019-06-25 Published:2019-06-25

摘要: 胎儿期心胸比增大常提示胎儿心功能不全;心胸比减小提示心脏受压,静脉系统回流受阻,反映胎儿情况较危急。产前明确诊断对病因查找、评估预后及宫内治疗有至关重要的作用。超声具有经济、无创、实时、便捷等特点,一直作为胎儿产前诊断首选的影像学方法,但其存在许多局限性。随着技术不断发展,MRI能为心胸比异常胎儿病因诊断及预后评估提供更多信息。

关键词: 磁共振成像, 超声, 胎儿, 心胸比, 异常

Abstract: The increase of fetal cardiothoracic ratio often indicates fetal cardiac insufficiency, the decrease of cardiothoracic ratio indicates compression of the heart, obstruction of venous reflux, and the critical condition of the fetus. A clear prenatal diagnosis is essential for pathogenesis search, prognosis evaluation and intrauterine treatment. Ultrasound as a economic, noninvasive, real-time, convenient technology, has always been the preferred imaging method for prenatal diagnosis of fetuses, but it has many limitations. With the development of technology, MRI can provide more information for the etiological diagnosis and prognosis assessment of abnormal cardiothoracic ratio fetus.

Key words: magnetic resonance imaging, ultrasound, fetus, cardiothoracic ratio, abnormal

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