中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2009年
18期
42-43
,共2页
彩色多普勒超声%双胎输血综和征%产前诊断
綵色多普勒超聲%雙胎輸血綜和徵%產前診斷
채색다보륵초성%쌍태수혈종화정%산전진단
color Doppler ultrasound Twin-twin Transfusion Syndrome (TTTS) prenatal diagnosis
目的 探讨彩色多普勒超声产前诊断双胎输血综和征的临床价值. 方法 二维重点观察两胎儿之一有无贴附现象,两胎儿性别是否相同,两胎儿胎盘个数,两胎儿间有无丝线样的分隔,胎盘与隔膜连续处有无双胎峰,两胎儿之间有无不平衡性生长,羊水的多少,两脐带的走行及脐带有无异常,最后注意有无合并其它畸形.应用多普勒超声分别测量脐动脉收缩/舒张血流速度的比值(S/D比值)、阻力指数(RI)、波动指数(PI),并观察供血儿脐动脉舒张末期血流. 结果产前超声共筛查诊断双胎输血综和征41例,合并其它畸形6例. 结论 彩色多普勒超声能对双胎输血综和征做出产前诊断,对进一步诊断及治疗方案的选择有重要的临床价值.
目的 探討綵色多普勒超聲產前診斷雙胎輸血綜和徵的臨床價值. 方法 二維重點觀察兩胎兒之一有無貼附現象,兩胎兒性彆是否相同,兩胎兒胎盤箇數,兩胎兒間有無絲線樣的分隔,胎盤與隔膜連續處有無雙胎峰,兩胎兒之間有無不平衡性生長,羊水的多少,兩臍帶的走行及臍帶有無異常,最後註意有無閤併其它畸形.應用多普勒超聲分彆測量臍動脈收縮/舒張血流速度的比值(S/D比值)、阻力指數(RI)、波動指數(PI),併觀察供血兒臍動脈舒張末期血流. 結果產前超聲共篩查診斷雙胎輸血綜和徵41例,閤併其它畸形6例. 結論 綵色多普勒超聲能對雙胎輸血綜和徵做齣產前診斷,對進一步診斷及治療方案的選擇有重要的臨床價值.
목적 탐토채색다보륵초성산전진단쌍태수혈종화정적림상개치. 방법 이유중점관찰량태인지일유무첩부현상,량태인성별시부상동,량태인태반개수,량태인간유무사선양적분격,태반여격막련속처유무쌍태봉,량태인지간유무불평형성생장,양수적다소,량제대적주행급제대유무이상,최후주의유무합병기타기형.응용다보륵초성분별측량제동맥수축/서장혈류속도적비치(S/D비치)、조력지수(RI)、파동지수(PI),병관찰공혈인제동맥서장말기혈류. 결과산전초성공사사진단쌍태수혈종화정41례,합병기타기형6례. 결론 채색다보륵초성능대쌍태수혈종화정주출산전진단,대진일보진단급치료방안적선택유중요적림상개치.
Objective The purpose of this study was to evaluate the clinic value of color Doppler ultrasound in prenatal diagnosis of Twin-twin Transfusion Syndrome (TTTS). Methods Emphasis observe the stuck twin phenomena in one of the twins; the sex of the twins are same or no; the number of placenta of the two twins; are there divide like silk thread between the two twins; are there dual embryo peak on the continual place of the two placenta membranous; are there discordant twin pregnancies; the fluid volume; the anatomic variation or abnormal of the two umbilical cord; and observe the fetal combing any other malformationorno finally by two dimensional ultrasound. Assess the ratio of peak systolic to least diastolic flow velocity(S/D)、resistance index(RI) 、and pulsate index(PI) by Doppler ultrasound, and observe the send-diastolic velocity of the umbilical arteries of the donors. Results there are 41case was TTTS in the screening by prenatal ultrasound, and 6cases combing other malformation.Conclusion TTTS can be prenatal diagnosed by color Doppler ultrasound, which is of an important clinical value in the management of pregnancy
