产前超声对胎儿永存左上腔静脉的诊断及鉴别诊断

发布时间：2018-01-22 18:05

本文关键词： 胎儿永存左上腔静脉超声检查产前　出处：《医学影像学杂志》2016年11期 　论文类型：期刊论文

【摘要】：目的探讨产前超声检查在诊断胎儿永存左上腔静脉(PLSVC)中的诊断价值。方法回顾分析24例经我院诊断最后确诊的永存左上腔静脉胎儿的超声图像,总结不同类型的胎儿永存左上腔静脉的超声特点。结果 23例永存左上腔静脉胎儿在出生后经新生儿心脏超声证实。其中10例合并内脏反位,6例单纯PLSVC,10例合并其他畸形(包括1例合并完全性心内膜垫缺损,1例左室发育不全,1例二尖瓣闭锁,2例右位主动脉弓,2例室间隔缺损,1例合并Dandy-Walker畸形,1例肾积水,1例单脐动脉)。漏诊1例。结论产前超声检查对诊断胎儿永存左上腔静脉具有重要的价值,是首选的检查方法。
[Abstract]:Objective to evaluate the diagnostic value of prenatal ultrasound in the diagnosis of persistent left superior vena cava (PLSVC). Methods 24 cases of persistent left superior vena cava were retrospectively analyzed. Results 23 cases of persistent left superior vena cava were confirmed by neonatal echocardiography after birth, and 10 cases were complicated with visceral inversion. There were 10 cases of simple PLSVC with other deformities (including 1 case with complete endocardial cushion defect 1 case with left ventricular dysplasia 1 case with mitral atresia 2 cases with right aortic arch and 2 cases with ventricular septal defect). One case with Dandy-Walker malformation, one case with hydronephrosis and one case with single umbilical artery misdiagnosis. Conclusion Prenatal ultrasonography is of great value in the diagnosis of persistent left superior vena cava. Is the preferred method of inspection.
【作者单位】：中国人民解放军第101医院特诊科;南京医科大学附属无锡市妇幼保健院超声科;
【分类号】：R445.1;R714.5
【正文快照】： 永存左上腔静脉(PLSVC)是最常见的体静脉先天性畸形,其总体发病率约0.5%,在先天性心脏病患者中发生率约3%~5%[1]。本文回顾性分析我院诊断为胎儿永存左上腔静脉的24例临床资料,探讨产前超声对永存左上腔静脉的应用价值。1资料与方法1.1研究对象2013年1月~2015年9月在我院进行

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