胎儿卵圆孔提前闭合与妊娠结局的临床分析

发布时间：2018-02-27 22:28

本文关键词： 胎儿卵圆孔提前闭合妊娠结局　出处：《实用妇产科杂志》2015年06期 　论文类型：期刊论文

【摘要】：目的:探讨胎儿卵圆孔提前闭合对妊娠结局的影响。方法:收集2011年4月至2014年8月在我院分娩的6例妊娠合并胎儿卵圆孔提前闭合的病例资料,分析胎儿卵圆孔早闭时间和程度与妊娠结局的关系。结果:6例中有3例胎儿卵圆孔部分闭锁,其中2例分别于孕27周、29周B超检查发现,至足月后剖宫产分娩,新生儿存活,预后良好,另1例于孕24周B超检查发现胎儿卵圆孔部分闭锁合并室壁增厚、心包积液,予中期引产。3例胎儿B超检查发现卵圆孔完全闭锁,合并右心增大、心包积液等,予立即剖宫产终止妊娠,1例新生儿存活,2例死亡。结论:胎儿卵圆孔提前闭合如未合并其他心脏畸形,提示胎儿预后可能良好;如同时伴发其他畸形,提示预后可能不佳。同时,妊娠结局可能与其出现的孕周以及是否完全闭合有关。
[Abstract]:Objective: to investigate the effect of early closure of foramen ovale on the outcome of pregnancy. Methods: from April 2011 to August 2014, 6 cases of pregnancy complicated with premature closure of foramen ovale were collected. Results among 6 cases, 3 cases had partial atresia of foramen ovale, 2 of them were examined by B-mode ultrasonography at 27 weeks and 29 weeks after gestation, and the newborn survived after cesarean section after full term delivery, 2 of the 6 cases were found to have partial atresia of the foramen ovale. The prognosis was good. Another case was found to have partial atresia of foramen ovale with thickening of ventricular wall and pericardial effusion during 24 weeks of gestation. In 3 cases of induced labor induced by fetal B ultrasound, complete atresia of foramen ovale, enlargement of right heart, pericardial effusion were found. Conclusion: the early closure of foetal foramen ovale without other cardiac malformation may indicate that the fetal prognosis may be good, if other malformations are accompanied by fetal foramen ovale. It suggests that the prognosis may be poor, and the outcome of pregnancy may be related to the gestational age and the complete closure of the pregnancy.
【作者单位】：首都医科大学附属北京安贞医院;
【分类号】：R445.1;R714.5

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