臨床婦人科産科61巻8号

2007年08月発行

今月の臨床 産科超音波診断─正診への道筋

妊娠中・後期

2．胎児心臓スクリーニングのコツ

著者： 千葉喜英¹

所属機関： ¹Women's Clinic千葉産婦人科

ページ範囲：P.1024 - P.1029

文献概要

心臓をみる前に胃をみよう

　いきなり，胎児心臓の観察をしようとするから，胎児の左と右を誤る原因となる．胎児の心臓の観察を始める前に，腹部の横断像をみる．内臓逆位がなければ，胎児の胃は左側に観察され，拍動する大動脈の横断像が脊柱の左前方にある．そのまま，プローブを平行に頭側に移動すれば，胎児心臓の四腔断面がみえる．

参考文献

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21）Augusto L, Hidaka N, Chiba Y：Prenatal diagnosis of tetralogy of fallot with absent pulmonary valve using advanced dynamic flow. Fetal Diagnosis and Therapy 20：113-115, 2005