中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
CHINESE JOURNAL OF ULTRASONOGRAPHY
2014年
9期
762-764
,共3页
曾施%周启昌%周嘉炜%曹丹鸣%章鸣%龙璨
曾施%週啟昌%週嘉煒%曹丹鳴%章鳴%龍璨
증시%주계창%주가위%조단명%장명%룡찬
超声检查,产前%锁骨下动脉%迷走右锁骨下动脉
超聲檢查,產前%鎖骨下動脈%迷走右鎖骨下動脈
초성검사,산전%쇄골하동맥%미주우쇄골하동맥
Ultrasonography,prenatal%Subclavian artery%Aberrant right subclavian artery
目的 探讨产前超声对迷走右锁骨下动脉的诊断价值及临床意义.方法 回顾性分析39例产前超声诊断为迷走右锁骨下动脉的临床资料、超声图像与随访结果,研究迷走右锁骨下动脉的产前超声图像特点,观察其伴发畸形和围产期结局.结果 迷走右锁骨下动脉的超声图像特征表现为锁骨下动脉由降主动脉起始部发出并经气管及食管的后方向右侧走行.迷走右锁骨下动脉的发生率约为2.3％(39/17 280),23例(59.0％)为单纯性畸形,16例(41.0％)合并其他心内外畸形;9例(23.1％)迷走右锁骨下动脉胎儿存在染色体异常.23例终止妊娠,2例胎死宫内,14例胎儿活产.与迷走右锁骨下动脉合并心内外畸形组相比较,迷走右锁骨下动脉单发畸形组染色体异常发生率较低(8.7％对43.8％,P＜0.05),胎儿存活率较高(56.5％对6.2％,P＜0.05).结论 胎儿超声心动图对迷走右锁骨下具有重要的产前诊断价值.迷走右锁骨下动脉伴有非整倍染色体异常、心内外畸形的胎儿预后不良.
目的 探討產前超聲對迷走右鎖骨下動脈的診斷價值及臨床意義.方法 迴顧性分析39例產前超聲診斷為迷走右鎖骨下動脈的臨床資料、超聲圖像與隨訪結果,研究迷走右鎖骨下動脈的產前超聲圖像特點,觀察其伴髮畸形和圍產期結跼.結果 迷走右鎖骨下動脈的超聲圖像特徵錶現為鎖骨下動脈由降主動脈起始部髮齣併經氣管及食管的後方嚮右側走行.迷走右鎖骨下動脈的髮生率約為2.3％(39/17 280),23例(59.0％)為單純性畸形,16例(41.0％)閤併其他心內外畸形;9例(23.1％)迷走右鎖骨下動脈胎兒存在染色體異常.23例終止妊娠,2例胎死宮內,14例胎兒活產.與迷走右鎖骨下動脈閤併心內外畸形組相比較,迷走右鎖骨下動脈單髮畸形組染色體異常髮生率較低(8.7％對43.8％,P＜0.05),胎兒存活率較高(56.5％對6.2％,P＜0.05).結論 胎兒超聲心動圖對迷走右鎖骨下具有重要的產前診斷價值.迷走右鎖骨下動脈伴有非整倍染色體異常、心內外畸形的胎兒預後不良.
목적 탐토산전초성대미주우쇄골하동맥적진단개치급림상의의.방법 회고성분석39례산전초성진단위미주우쇄골하동맥적림상자료、초성도상여수방결과,연구미주우쇄골하동맥적산전초성도상특점,관찰기반발기형화위산기결국.결과 미주우쇄골하동맥적초성도상특정표현위쇄골하동맥유강주동맥기시부발출병경기관급식관적후방향우측주행.미주우쇄골하동맥적발생솔약위2.3％(39/17 280),23례(59.0％)위단순성기형,16례(41.0％)합병기타심내외기형;9례(23.1％)미주우쇄골하동맥태인존재염색체이상.23례종지임신,2례태사궁내,14례태인활산.여미주우쇄골하동맥합병심내외기형조상비교,미주우쇄골하동맥단발기형조염색체이상발생솔교저(8.7％대43.8％,P＜0.05),태인존활솔교고(56.5％대6.2％,P＜0.05).결론 태인초성심동도대미주우쇄골하구유중요적산전진단개치.미주우쇄골하동맥반유비정배염색체이상、심내외기형적태인예후불량.
Objective To investigate the clinical value and prenatal diagnosis feasibility of fetal aberrant right subclavian artery(ARSA) with fetal echocardiography.Methods The data of 39 fetuses with ARSA were retrospectively reviewed.The prenatal and postnatal medical records,including the presence of fetal abnormalities,cardiac defect,karyotype and the outcomes of each pregnancy were collected.Results The echocardiographic feature of ARSA was that an ARSA arises as a fourth branch of the arch,from the descending aorta behind the trachea,crosses the thorax between the trachea and the spine,to reach the right arm.The overall incidence of ARSA was 2.3 ％ (39/17 280),23 cases (59.0 ％) as an isolated malformation,16 cases (41.0％) combined with cardiac defect and extracardiac abnormalities,9 cases (23.1％) with chromosomal abnormalities.23 cases underwent termination of pregnancy,2 cases died in uterus and 14 cases were born live.Isolated ARSA group had lower incidence of chromosomal abnormalities (8.7％ vs 43.8 ％,P ＜ 0.05) and higher fetal survival rate (56.5％ vs 6.2％,P ＜0.05) than the combined detects group.Conclusions The fetus with ARSA complicated with aneuploid karyotype,cardiac defects and extracardiac anomalies are at hight risk of poor prognosis.
