Wang Shanshan, Fu Jihe, Wu Lijun, Liu Xing-Yuan, Zhang Yuqi
Department of Pediatrics, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Ultrasound, Changzhou Second People's Hospital, Nanjing Medical University, Changzhou, China.
J Clin Ultrasound. 2022 Nov;50(9):1331-1337. doi: 10.1002/jcu.23252. Epub 2022 Jul 17.
This study was designed to evaluate echocardiographic measurements in Han Chinese preterm and term infants and to build percentile curves of normal echocardiographic measurements values related to the weight.
From December 2014 to December 2021, a total of 797 male infants and 773 female infants born in * were included in the study. The echocardiographic measurements of each subject were as follows: left ventricular internal diameter at end-diastole (LVIDd), left ventricular internal diameter at end-systole (LVIDs), left ventricular posterior wall thickness at end-diastole (LVPWd), left ventricular posterior wall thickness at end-systole (LVPWs), interventricular septal thickness at end-diastole (IVSd), interventricular septal thickness at end-systole (IVSs), ascending aorta diameter (AO), left atrium (LA) dimension, left ventricular ejection fraction (LVEF), left ventricular fractional shortening (LVFS) and left ventricular mass (LVM). The correlations between echocardiography measurements and birth weight (BW), length (L), gestational age (GA), and body surface area (BSA) were analyzed.
There was a good correlation between the echocardiographic measurements and birth weight and percentile curves of the echocardiographic measurements were established according to different birth weight. The echocardiographic measurements were not affected by gender. However, LVEF and LVFS did not change with BW or gender.
The percentile curves of normal values make it possible to classify echocardiographic measurements for left heart structures and function as normal or abnormal and is helpful for the diagnosis of neonatal heart disease in preterm and term infants.
本研究旨在评估汉族早产和足月婴儿的超声心动图测量值,并建立与体重相关的正常超声心动图测量值百分位数曲线。
2014年12月至2021年12月,共纳入*出生的797例男婴和773例女婴。对每个受试者进行的超声心动图测量如下:舒张末期左心室内径(LVIDd)、收缩末期左心室内径(LVIDs)、舒张末期左心室后壁厚度(LVPWd)、收缩末期左心室后壁厚度(LVPWs)、舒张末期室间隔厚度(IVSd)、收缩末期室间隔厚度(IVSs)、升主动脉直径(AO)、左心房(LA)尺寸、左心室射血分数(LVEF)、左心室短轴缩短率(LVFS)和左心室质量(LVM)。分析超声心动图测量值与出生体重(BW)、身长(L)、胎龄(GA)和体表面积(BSA)之间的相关性。
超声心动图测量值与出生体重之间存在良好的相关性,并根据不同出生体重建立了超声心动图测量值的百分位数曲线。超声心动图测量值不受性别的影响。然而,LVEF和LVFS并不随BW或性别而变化。
正常值的百分位数曲线使得将左心结构和功能的超声心动图测量值分类为正常或异常成为可能,有助于早产和足月婴儿新生儿心脏病的诊断。