上腹部横切面在产前超声诊断心房异构综合征中的价值

发布时间：2018-06-16 21:35

本文选题：超声检查 + 心房异构　；参考：《中国当代医药》2016年30期

【摘要】：目的分析胎儿上腹部大血管及脏器相对位置改变与异构畸形的关系,探讨上腹部横切面在产前超声诊断心房异构综合征中的价值。方法对2013年3月~2016年9月在徐州市妇幼保健院进行胎儿超声心动图检查中诊断为心房异构综合征病例的胎儿的上腹部横切面声像特点进行回顾性分析,分析内容包括腹部大血管的位置及其相对关系、胃泡位置、胆囊位置、肝脏的形态及门静脉窦的特点。结果 23例胎儿心房异构胎儿均存在上腹部横切面的声像改变,其中9例左房异构综合征均合并肾上段下腔静脉离断,奇静脉或半奇静脉与腹主动脉并列(占左房异构的100%);14例右房异构均表现为下腔静脉与腹主动脉并列位于脊柱同侧(占右房异构的100%)。22例存在中位肝并出现胃泡和胆囊位置改变(占心房异构的95.7%);1例左房异构胃泡胆囊位置正常(占心房异构的4.3%,占左房异构的11.1%)。结论胎儿上腹部横切面声像改变,尤其是上腹部大血管排列关系改变,对提示胎儿心房异构综合征具有重要价值。
[Abstract]:Objective to analyze the relationship between the relative position of fetal epigastric great vessels and organs and isomerism, and to explore the value of upper abdominal transverse section in prenatal diagnosis of atrial isomerism syndrome. Methods from March 2013 to September 2016 in Xuzhou Maternal and Child Health Hospital, the characteristics of upper abdominal cross-sectional sonography of fetus diagnosed as atrial isomerism syndrome were analyzed retrospectively. The analysis includes the location and relative relationship of the great abdominal vessels, the location of the stomach vesicle, the location of the gallbladder, the morphology of the liver and the characteristics of the portal sinus. Results all of the 23 fetuses with fetal atrial isomerism had transverse-sectional changes in the upper abdomen. Among them, 9 cases of left atrial isomerism syndrome were accompanied by superior segmental inferior vena cava (IVC). Azygos vein or half azygos vein juxtaposed with abdominal aorta (100% of left atrium isomerism 14 cases of right atrial isomerism all show inferior vena cava and abdominal aorta juxtaposed on the same side of the spine (100% of right atrial isomerism. 22 cases have median liver with stomach bubble and bile duct) The change of cystic location (95.7% of atrial isomerism) was normal in 1 case (4.3% of atrial isomerism, 11.1% of left atrial isomerism). Conclusion the changes of the transverse section of fetal upper abdomen, especially the changes of the large vessels arrangement in the upper abdomen, are of great value in indicating fetal atrial isomerism syndrome.
【作者单位】：徐州医科大学附属徐州妇幼保健院超声科;
【分类号】：R714.5;R540.45

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