Chaoui R, Bollmann R
Abteilung für Pränatale Diagnostik und Therapie, Universitäts-Frauenklinik der Charité Berlin.
Ultraschall Med. 1994 Jun;15(3):105-11. doi: 10.1055/s-2007-1003942.
The second part gives an overview of the usefulness of colour Doppler in the diagnosis of congenital heart anomalies in the foetus. Typical colour Doppler findings in anomalies of the right ventricular inflow and outflow tract are presented especially in tricuspid atresia, in Ebstein's anomaly, in pulmonary stenosis and pulmonary atresia. Furthermore exposed are the findings in malformations of left ventricular inflow and outflow tract like in hypoplastic left heart syndrome or in aortic stenosis. The typical shunt patterns detected in atrioventricular or ventricular septal defects are also presented. The analysis of the perfusion of the great vessels bei colour Doppler is important and enables a reliable assessment of some cardiac defects like the Tetralogy of Fallot, the transposition of great arteries or the double outlet right ventricle. At least the application of the colour coded M-Mode echocardiography is explained. Colour Doppler echocardiography is a non-invasive method which is helpful in the detection and the description of abnormalities of the foetal heart and is nowadays indispensable in the prenatal diagnosis of congenital heart defects.
第二部分概述了彩色多普勒在胎儿先天性心脏异常诊断中的应用价值。介绍了右心室流入道和流出道异常的典型彩色多普勒表现，尤其是三尖瓣闭锁、埃布斯坦畸形、肺动脉狭窄和肺动脉闭锁。此外，还阐述了左心室流入道和流出道畸形的表现，如左心发育不全综合征或主动脉狭窄。还展示了房室间隔缺损或室间隔缺损中典型的分流模式。彩色多普勒对大血管灌注的分析很重要，能够可靠地评估某些心脏缺陷，如法洛四联症、大动脉转位或右心室双出口。至少解释了彩色编码M型超声心动图的应用。彩色多普勒超声心动图是一种非侵入性方法，有助于检测和描述胎儿心脏异常，在先天性心脏缺陷的产前诊断中不可或缺。
