标题：心外膜脂肪厚度在胎儿心脏代谢中的研究进展

      作者：廖明珍 1，2 综述 李丽珍 1，3 审校    1.右江民族医学院研究生学院，广西 百色 533000；2.河池市第一人民医院超声诊断科，广西 宜州 546300；3.右江民族医学院附院医院超声医学科，广西 百色 533000

      卷次： 2024年35卷10期

      【摘要】 心外膜脂肪组织归类为内脏脂肪组织的一种，内脏脂肪组织的异常堆积与代谢性疾病、心血管疾病等密切相关。最近心外膜脂肪组织(EAT)被认为是心脏代谢的关键因素；因EAT特殊的解剖位置、生物学功能及其临床预测价值，在妊娠期糖尿病、大于胎龄儿、先兆子痫和胎儿生长受限等疾病的发生和发展中发挥着重要作用。超声测量心外膜脂肪厚度(EFT)是一个简单而可靠的心脏代谢风险的成像指标。本文主要就心外膜脂肪组织的解剖与生物学功能、超声心动图评估及其胎儿心脏代谢的研究现状进行综述。
      【关键词】 超声心动图；心外膜脂肪厚度；胎儿；心脏代谢；研究进展
      【中图分类号】 R725.4 【文献标识码】 A 【文章编号】 1003—6350（2024）10—1515—06

Research progress of epicardial fat thickness in fetal cardiac metabolism.
LIAO Ming-zhen 1,2, LI Li-zhen 1,3. 1.Graduate School, Youjiang Medical University for Nationalities, Baise 533000, Guangxi, CHINA; 2. Department ofUltrasound Diagnosis, the First People's Hospital of Hechi City, Yizhou 546300, Guangxi, CHINA; 3. Department ofUltrasound Medicine, the Affiliated Hospital of Youjiang Ethnic Medical College, Baise 533000, Guangxi, CHINA【Abstract】 Epicardial adipose tissue is classified as a type of visceral adipose tissue, and abnormal deposition ofvisceral adipose tissue is closely related to metabolic diseases, cardiovascular diseases, etc. Recently, epicardial adiposetissue (EAT) has been recognized as a key factor in cardiac metabolism. Because of its special anatomical location, bio-logical function and clinical predictive value, EAT plays an important role in the occurrence and development of diseasessuch as gestational diabetes, large for gestational age infants, pre eclampsia, fetal growth restriction and other diseases.Ultrasound measurement of epicardial fat thickness (EFT) is a simple and reliable imaging indicator for cardiac metabol-ic risk. This article mainly reviews the anatomy and biological functions of epicardial adipose tissue, echocardiographyevaluation, and the current research status of fetal cardiac metabolism.
      【Key words】 Echocardiography; Epicardial fat thickness; Fetal; Cardiac metabolism; Research progress