产前超声“节段分析法”诊断胎儿内脏异位综合征

发布时间：2018-03-18 09:19

本文选题：胎儿疾病　切入点：超声检查　出处：《中国临床医学影像杂志》2015年11期 　论文类型：期刊论文

【摘要】：目的:对照病理解剖结果,探讨"节段分析法"在产前超声诊断胎儿内脏异位综合征的临床应用价值。方法:对2013年1月—2015年3月我院在产前超声检查中采用"节段分析法"诊断的内脏异位综合征,和2011年2月—2012年12月未使用"节段分析法"诊断内脏异位的检出率进行比较分析,并对比其产前超声特征与引产后病理解剖结果。结果:2013年1月—2015年3月诊断21例内脏异位综合征胎儿,尸检均符合主要诊断,其中16例右侧异构胎儿均表现复杂心脏畸形,下腔静脉与腹主动脉同侧伴行,胃泡位置异常,15例无脾,1例脾发育不良;5例左侧异构胎儿超声表现下腔静脉离断、奇静脉扩张,3例提示复杂心脏畸形,2例心脏结构正常,2例合并房室传导阻滞。18例胎儿引产后经病理解剖证实。而2011年2月—2012年12月未使用"节段分析法"期间4例尸检中发现有内脏异位综合征漏诊,产前只准确检出1例。结论:采用产前超声"节段分析法"能显著减少胎儿内脏异位综合征的产前漏诊及误诊率,有利于产前咨询及围生期临床处理的决策。
[Abstract]:Objective: to compare the results of pathological anatomy, To explore the clinical application value of "segmental analysis" in the diagnosis of fetal visceral ectopic syndrome by prenatal ultrasound. Methods: the visceral ectopic syndrome diagnosed by "segmental analysis" in our hospital from January 2013 to March 2015 was used in prenatal ultrasound examination. From February 2011 to December 2012, the detection rate of visceral heterotopia was compared with that of "segmental analysis". Results: from January 2013 to March 2015, 21 fetuses with visceral ectopic syndrome were diagnosed. The inferior vena cava was accompanied by abdominal aorta in the same side, and the gastric vesicle was abnormal in 15 cases without splenomatosis in 1 case, and in 5 cases of left isomerism fetus, the inferior vena cava was disconnected by ultrasound. Azygos vein dilatation in 3 cases suggested that 2 cases of complicated cardiac malformation had normal cardiac structure and 2 cases were complicated with atrioventricular block. 18 cases of fetal induced labor were confirmed by pathological anatomy after induction of labor. However, "segmental analysis" was not used during the period of February 2011 to December 2012. 4. In the autopsy, there was missed diagnosis of visceral ectopic syndrome. Conclusion: prenatal ultrasound "segmental analysis" can significantly reduce the rate of missed diagnosis and misdiagnosis of fetal visceral ectopic syndrome, which is beneficial to prenatal consultation and perinatal clinical management.
【作者单位】：厦门市妇幼保健院超声医学科;
【分类号】：R714.5;R445.1

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