在第一季度超声波中进行静脉管道多普勒查的可行性:前性多中心研究
Félicia Joinau-Zoulovits1, Anissa Bouzidi1, Françoise Etienne1
1Department of Obstetrics and Gynecology, Saint-Denis Hospital Center, 93205 Saint-Denis, France.
Medicina (Kaunas, Lithuania)
|August 28, 2025
概括
在第一季度的超声波中用多普勒检测静脉管 (DV) 是可行的,以检测先天性心脏缺陷 (CHD). 这种方法可以在常规实践中复制,而不会增加大量的时间,有助于早期发现冠状动脉疾病.
科学领域:
- 胎儿医学
- 诊断超声波
- 心脏病学
背景情况:
- 在第一季度对静脉管道 (DV) 的多普勒评估可以发现先天性心脏缺陷 (CHD).
- 在例行查中进行系统的DV评估的可行性尚未得到充分证实.
研究的目的:
- 评估在常规第一季度超声波检查期间进行DV多普勒评估的可行性.
- 确定影响DV评估成功的因素.
主要方法:
- 一个多中心的前性研究包括单胎妊娠 (11-14周).
- 超声波仪获得DV多普勒图像;专家评价图像质量 (良好,中等,不满意).
- 可行性被定义为"好"图像的比例;分析了超声波仪的满意度和获取时间等因素.
主要成果:
- 在58.6%的病例中,可进行适当的DV多普勒图像.
- 随着超声波仪的满意度,赫尔曼得分>7,获取时间<5分钟,可行性增加.
- 专家和超声波评估之间发现了强烈的相关性;妊娠年龄,BMI,均值和感知质量并不是显著因素.
结论:
- 对静脉管的多普勒评估是可行的,并且可以在常规的第一季度超声波中重现.
- 这种技术可以在不显著增加检查时间的情况下进行整合.
- 静脉静脉测量可以提高先天性心脏缺陷的早期查.
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