Deterioration of myocardial tissue Doppler indices in a case of fetal hydrothorax as a promising indication for clinical intervention before the development of nonimmune hydrops fetalis.
Deterioration of myocardial tissue Doppler indices in a case of fetal hydrothorax as a promising indication for clinical intervention before the development of nonimmune hydrops fetalis.
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胎儿胸水病例中心肌组织多普勒指数的恶化是在发生非免疫性胎儿水肿之前进行临床干预的有希望的指征。
DOI：
10.1007/s00404-012-2375-6
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
S. Iwashima.
中科院分区：
文献类型：
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作者：
K. Sekii;H. Itoh;T. Ogata;S. Iwashima.
胎儿胸腔积液的临床过程在个体之间差异很大，其产前管理从等待和密切观察到子宫内治疗干预或终止妊娠不等。迄今为止，胎儿胸腔积液的管理取决于胎龄、进展速度和积液的发展[1-3]，部分原因是在非免疫性水肿胎儿（NIHF）发作前没有适当的临床干预指标。组织多普勒成像（TDI）已被证明可用于评估正常胎儿[4]以及病理状况（如胎儿水肿）胎儿的心脏功能[5，6]。迄今为止，很少有研究通过TDI研究胎儿胸水的纵向心功能，直到水肿变化，并且尚未阐明连续TDI是否可以提供有关临床干预适应症的临床信息。我们对一例胎儿胸腔积液的病例进行了TDI对胎儿心功能的连续评估。
The clinical course of fetal hydrothorax is highly variable between individuals, and its prenatal management varies from waiting and close observation to therapeutic intervention in utero or the termination of pregnancy. To date, the management of fetal hydrothorax has depended on the gestational age, rate of progression, and development of hydrops [1–3], partly because no appropriate indicator for clinical intervention is available before the onset of nonimmune hydrops fetalis (NIHF). Tissue Doppler imaging (TDI) has been shown to be useful in assessing the cardiac function of fetuses with a normal [4] as well as pathological condition such as hydrops fetalis [5, 6]. So far, few studies have investigated the longitudinal cardiac function in fetal hydrothorax by TDI until hydropic change, and it has yet to be clarified whether serial TDI can provide clinical information concerning the indication for clinical intervention. We serially evaluated the fetal cardiac function with TDI in a case of fetal hydrothorax.