医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2013年
11期
2203-2205
,共3页
杨红琳%田艾军%谌立军%骆迎春%符元春
楊紅琳%田艾軍%諶立軍%駱迎春%符元春
양홍림%전애군%심립군%락영춘%부원춘
腔静脉 ,下/超声检查%胎儿
腔靜脈 ,下/超聲檢查%胎兒
강정맥 ,하/초성검사%태인
Vena Cava,Inferior/US%Fetus
[目的]探讨产前超声诊断胎儿下腔静脉离断的价值。[方法]对2007年3月至2012年12月在本院产前超声系统筛查201069例孕妇,诊断胎儿下腔静脉离断34例的声像图特征及漏诊原因进行分析。[结果]胎儿下腔静脉离断诊断率为0.17‰,34例中内脏异位综合征11例(其中左侧异构9例,右侧异构2例),完全性内脏反位2例;合并心脏畸形18例(房室间隔缺损4例,法洛四联症3例,永存动脉干3例,左上腔静脉3例,右室双出口1例,房室间隔缺损+肺静脉异位引流1例,法洛四联症+左上腔静脉1例,永存动脉干+肺静脉异位引流1例,右室双出口+肺静脉异位引流1例);漏诊3例,2例在孕23、24周筛查时漏诊,孕32周复查时检出;1例出生后诊断,随访至今5年余,患儿生长发育正常,无异常临床表现。[结论]上下腔静脉长轴切面、胸腹部斜冠状切面、四腔心切面及上腹部横切面是筛查胎儿下腔静脉离断的重要切面,对产前超声诊断胎儿下腔静脉离断具有重要的临床价值。
[目的]探討產前超聲診斷胎兒下腔靜脈離斷的價值。[方法]對2007年3月至2012年12月在本院產前超聲繫統篩查201069例孕婦,診斷胎兒下腔靜脈離斷34例的聲像圖特徵及漏診原因進行分析。[結果]胎兒下腔靜脈離斷診斷率為0.17‰,34例中內髒異位綜閤徵11例(其中左側異構9例,右側異構2例),完全性內髒反位2例;閤併心髒畸形18例(房室間隔缺損4例,法洛四聯癥3例,永存動脈榦3例,左上腔靜脈3例,右室雙齣口1例,房室間隔缺損+肺靜脈異位引流1例,法洛四聯癥+左上腔靜脈1例,永存動脈榦+肺靜脈異位引流1例,右室雙齣口+肺靜脈異位引流1例);漏診3例,2例在孕23、24週篩查時漏診,孕32週複查時檢齣;1例齣生後診斷,隨訪至今5年餘,患兒生長髮育正常,無異常臨床錶現。[結論]上下腔靜脈長軸切麵、胸腹部斜冠狀切麵、四腔心切麵及上腹部橫切麵是篩查胎兒下腔靜脈離斷的重要切麵,對產前超聲診斷胎兒下腔靜脈離斷具有重要的臨床價值。
[목적]탐토산전초성진단태인하강정맥리단적개치。[방법]대2007년3월지2012년12월재본원산전초성계통사사201069례잉부,진단태인하강정맥리단34례적성상도특정급루진원인진행분석。[결과]태인하강정맥리단진단솔위0.17‰,34례중내장이위종합정11례(기중좌측이구9례,우측이구2례),완전성내장반위2례;합병심장기형18례(방실간격결손4례,법락사련증3례,영존동맥간3례,좌상강정맥3례,우실쌍출구1례,방실간격결손+폐정맥이위인류1례,법락사련증+좌상강정맥1례,영존동맥간+폐정맥이위인류1례,우실쌍출구+폐정맥이위인류1례);루진3례,2례재잉23、24주사사시루진,잉32주복사시검출;1례출생후진단,수방지금5년여,환인생장발육정상,무이상림상표현。[결론]상하강정맥장축절면、흉복부사관상절면、사강심절면급상복부횡절면시사사태인하강정맥리단적중요절면,대산전초성진단태인하강정맥리단구유중요적림상개치。
[Objective]To explore the value of prenatal ultrasound diagnosis of interruption of inferior vena cava .[Methods] A total of 201069 pregnant women in our hospital from March 2007 to Dec .2012 were screened by prenatal ultrasonic system .The characteristics of sonogram and the causes of the missed diagnosis of 34 fetuses diagnosed as interruption of inferior vena cava were analyzed .[Results]The diagnostic rate of in-terruption of inferior vena cava in fetuses was 0 .17% .Among 34 patients ,11 patients were heterotaxy syn-drome(9 left isomerism and 2 right isomerism) ,and 2 patients were complete situs inversus viscerum ,and 18 patients were combined with cardiac deformity (4 atrioventricular septal defect ,3 tetralogy of fallot ,3 persis-tent truncus arteriosus ,3 persistent left superior vena cava ,1 double outlet right ventricle ,1 complete atrio-ventricular septal defect and anomalous pulmonary venous connection ,1 tetralogy of fallot and persistent left superior vena cava ,1 persistent truncus arteriosus and anomalous pulmonary venous connection ,1 double out-let right ventricle and anomalous pulmonary venous connection) ,and 3 patients were undetected in which 2 pa-tients were undetected at 23~24 weeks but detected at 32 weeks ,and 1 patient was diagnosed after birth . During the follow up for 5 years ,the growth and development of patients were normal without abnormal clini-cal manifestations .[Conclusion] The upper and inferior vena cava long axis view ,thoracic-abdominal oblique coronary view ,four-chamber view and upper abdominal transverse view are vital for the diagnosis of interrup-tion of inferior vena cava in fetus .Prenatal ultrasound diagnosis of interruption of inferior vena cava is of im-portant value in clinical practice .