医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2012年
35期
71-72
,共2页
他林昆%陆永萍%黄燕玲%于飞%徐飞%李云燕
他林昆%陸永萍%黃燕玲%于飛%徐飛%李雲燕
타림곤%륙영평%황연령%우비%서비%리운연
永久性右脐静脉%静脉导管走行%染色体异常%预后评价
永久性右臍靜脈%靜脈導管走行%染色體異常%預後評價
영구성우제정맥%정맥도관주행%염색체이상%예후평개
permanent right umbilical vein%Venous catheter travel%Chromosome abnormality%Prognosis evaluation
目的探讨胎儿永久性右脐静脉的超声特征及预后.方法对2007年7月~2011年9月我科8712例孕妇行产前系统检查,第一位检查医师发现永久性右脐静脉时,请上级医师再次复查核实,建议并发其他结构畸形的永久性右脐静脉者行染色体检查.结果产前超声检查诊断永久性右脐静脉15例,永久性右脐静脉检出率0.17%.其中永久性右脐静脉合并多系统畸形 2例,染色体核型异常,终止妊娠.孤立性永久性右脐静脉13例,随访预后良好.结论产前超声检查可以确诊永久性右脐静脉,当发现永久性右脐静脉,应跟踪脐静脉及静脉导管走行,以排除胎儿其他部位结构异常.一般情况下,胎儿孤立性永久性右脐静脉预后较好.而当胎儿永久性右脐静脉合并多种部位结构异常时,应建议行胎儿染色体检查及产前咨询.
目的探討胎兒永久性右臍靜脈的超聲特徵及預後.方法對2007年7月~2011年9月我科8712例孕婦行產前繫統檢查,第一位檢查醫師髮現永久性右臍靜脈時,請上級醫師再次複查覈實,建議併髮其他結構畸形的永久性右臍靜脈者行染色體檢查.結果產前超聲檢查診斷永久性右臍靜脈15例,永久性右臍靜脈檢齣率0.17%.其中永久性右臍靜脈閤併多繫統畸形 2例,染色體覈型異常,終止妊娠.孤立性永久性右臍靜脈13例,隨訪預後良好.結論產前超聲檢查可以確診永久性右臍靜脈,噹髮現永久性右臍靜脈,應跟蹤臍靜脈及靜脈導管走行,以排除胎兒其他部位結構異常.一般情況下,胎兒孤立性永久性右臍靜脈預後較好.而噹胎兒永久性右臍靜脈閤併多種部位結構異常時,應建議行胎兒染色體檢查及產前咨詢.
목적탐토태인영구성우제정맥적초성특정급예후.방법대2007년7월~2011년9월아과8712례잉부행산전계통검사,제일위검사의사발현영구성우제정맥시,청상급의사재차복사핵실,건의병발기타결구기형적영구성우제정맥자행염색체검사.결과산전초성검사진단영구성우제정맥15례,영구성우제정맥검출솔0.17%.기중영구성우제정맥합병다계통기형 2례,염색체핵형이상,종지임신.고립성영구성우제정맥13례,수방예후량호.결론산전초성검사가이학진영구성우제정맥,당발현영구성우제정맥,응근종제정맥급정맥도관주행,이배제태인기타부위결구이상.일반정황하,태인고립성영구성우제정맥예후교호.이당태인영구성우제정맥합병다충부위결구이상시,응건의행태인염색체검사급산전자순.
ObjectiveTo investigate permanent right fetal umbilical vein of the sonographic features and prognosis.Methods From July 2007 to September 2011 families, 8712 cases of pregnant women I do prenatal system inspection, the first check the doctors found that the permanent right umbilical vein, please check again the superior doctors check, advice and other structural abnormalities of the permanent right umbilical vein is line chromosome check.Results Prenatal ultrasound diagnosis permanent right umbilical vein in 15 cases, permanent right umbilical vein detection rate of 0.17%. The permanent right umbilical vein merger multisystem abnormalities in 2 cases, abnormal chromosome karyotype, termination of pregnancy. Isolated permanent right umbilical vein 13 cases, folow-up prognosis is good.Conclusion Prenatal ultrasound can diagnose permanent right umbilical vein, when found permanent right umbilical vein, should folow umbilical vein and vein catheter travel, to rule out other parts of fetal abnormal structure. Usualy, fetal isolated permanent right umbilical vein prognosis is good. And when the fetus permanent right umbilical vein to combine multiple parts structure anomaly, should suggest do fetal chromosomal inspection and prenatal counseling.