完全性肺静脉连接异常的产前超声心动图诊断价值及漏误诊分析

发布时间：2018-03-13 12:07

本文选题：肺静脉　切入点：血管畸形　出处：《中国医学影像学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨胎儿超声心动图对完全性肺静脉连接异常(TAPVC)的诊断价值,分析漏诊与误诊原因,提高TAPVC产前诊断的准确性。资料与方法回顾性分析2001年10月-2015年12月在南京医科大学附属南京儿童医院及上海交通大学医学院附属上海儿童医学中心24例经产后超声心动图证实为TAPVC胎儿的超声心动图检查资料。结果 24例TAPVC胎儿中,心上型14例、心内型7例、心下型2例、混合型1例。单纯性TAPVC 15例,合并其他心血管畸形9例,其中最常见的合并畸形为双侧右心房结构、单心房、单心室、共同房室瓣、肺动脉狭窄。超声的共同征象为四腔心观未见肺静脉回流入左心房内24例(100.0%)、左心房与降主动脉间见静脉共汇22例(91.7%)。24例胎儿中,漏诊1例,3例分别误诊为左侧上腔静脉残存、共同肺静脉干闭锁和左心房主静脉开放。结论胎儿超声心动图可准确诊断TAPVC,但易造成漏诊及误诊。
[Abstract]:Objective to evaluate the diagnostic value of fetal echocardiography in the diagnosis of complete anomalous pulmonary venous connection (TAPVC), and to analyze the causes of missed diagnosis and misdiagnosis. To improve the accuracy of prenatal diagnosis of TAPVC. Data and methods retrospective analysis of 24 cases of postpartum in Nanjing Children's Hospital affiliated to Nanjing Medical University and Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University Medical College from October 2001 to December 2015. Results in 24 cases of TAPVC fetus, the data of echocardiography were confirmed by echocardiography. There were 14 cases of heart type, 7 cases of intracardiac type, 2 cases of subcardiac type, 1 case of mixed type, 15 cases of simple TAPVC and 9 cases of other cardiovascular malformations. The most common deformities were bilateral right atrial structure, single atrium, single ventricle and common atrioventricular valve. Pulmonary artery stenosis. The common sign of ultrasound was that the pulmonary vein did not flow into the left atrium in 24 cases, the left atrium and descending aorta were common in 22 cases, the missed diagnosis was 1 case and 3 cases were misdiagnosed as left superior vena cava, respectively, and the left superior vena cava was misdiagnosed as a remnant of the left superior vena cava in 3 cases, and the left superior vena cava was misdiagnosed in 3 cases. Conclusion Fetal echocardiography can accurately diagnose TAPVC, but it is easy to cause missed diagnosis and misdiagnosis.
【作者单位】：南京医科大学附属南京儿童医院超声科;上海交通大学医学院附属上海儿童医学中心心内科;
【分类号】：R540.45;R714.5

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