Journet D, Bienstman J, Joly H, Rudigoz R C, Huissoud C
Service de gynécologie-obstétrique, hôpital de Croix-Rousse, hospices civils de Lyon, 103, Grande-Rue-de-Croix-Rousse, 69317 Lyon cedex 04, France.
J Gynecol Obstet Biol Reprod (Paris). 2011 Oct;40(6):580-5. doi: 10.1016/j.jgyn.2011.07.001. Epub 2011 Aug 30.
Atrioventricular (AV) interval measurement allows early diagnosis of isolated congenital heart block linked to maternal antibodies anti-Ro/SSA and/or anti-La/SSB. Simple and reliable ultrasound techniques have been developed to assess AV interval but most of them are imperfectly implemented by sonographers. In threatening conditions fetus should be regularly screened between 16 to 30 weeks. Increased AV interval defines the first degree AV block which should be treated by maternal-fetal corticosteroid to prevent complete heart block occurrence. The most recent ultrasound methods are based on pulsed Doppler rather than time-motion Doppler. We describe the most important technical aspects to improve the evaluation of the fetal AV interval.
房室(AV)间期测量有助于早期诊断与母体抗Ro/SSA和/或抗La/SSB抗体相关的孤立性先天性心脏传导阻滞。已经开发出简单可靠的超声技术来评估AV间期,但大多数技术超声检查人员并未完美实施。在有风险的情况下,应在孕16至30周期间对胎儿进行定期筛查。AV间期延长定义为一度房室传导阻滞,应采用母胎皮质类固醇治疗以预防完全性心脏传导阻滞的发生。最新的超声方法基于脉冲多普勒而非时间运动多普勒。我们描述了改善胎儿AV间期评估的最重要技术方面。