本文選題：主動(dòng)脈弓　切入點(diǎn)：胎兒疾病　出處：《中國(guó)臨床醫(yī)學(xué)影像雜志》2016年07期 　論文類型：期刊論文

【摘要】：目的:探討三血管氣管切面在診斷胎兒右位主動(dòng)脈弓中的應(yīng)用價(jià)值。方法:回顧性分析61例在我院產(chǎn)前超聲檢查中被診斷為右位主動(dòng)脈弓的胎兒,總結(jié)并分析其在三血管氣管切面的超聲聲像圖特點(diǎn),隨訪觀察其臨床結(jié)局。結(jié)果:61例產(chǎn)前超聲診斷為右位主動(dòng)脈弓的胎兒,其中單純性右位主動(dòng)脈弓41例,雙主動(dòng)脈弓2例,右位主動(dòng)脈弓伴心內(nèi)畸形14例,右位主動(dòng)脈弓伴心外畸形2例,右位主動(dòng)脈弓同時(shí)合并心內(nèi)和心外畸形2例。39例活產(chǎn)胎兒產(chǎn)后證實(shí)產(chǎn)前診斷,5例右位主動(dòng)脈弓合并其他嚴(yán)重畸形的胎兒選擇引產(chǎn)(其中4例尸檢后病理結(jié)果證實(shí)產(chǎn)前診斷,1例引產(chǎn)后未做尸檢),2例正在密切隨訪中,1例產(chǎn)后超聲心動(dòng)圖結(jié)果與產(chǎn)前超聲診斷結(jié)果不符,14例失訪。結(jié)論:產(chǎn)前超聲掃查三血管氣管切面是診斷胎兒右位主動(dòng)脈弓的可靠方法,單純性胎兒右位主動(dòng)脈弓可能不引起明顯的臨床癥狀。
[Abstract]:Objective: to evaluate the value of three-vessel tracheostomy in the diagnosis of fetal right aortic arch. Methods: 61 cases of fetus diagnosed as right aortic arch by prenatal ultrasound in our hospital were analyzed retrospectively. Results 61 fetuses diagnosed by prenatal ultrasound were diagnosed as right aortic arch, including 41 cases of simple right aortic arch and 2 cases of double aortic arch. There were 14 cases of right aortic arch with intracardiac malformation and 2 cases of right aortic arch with extracardiac malformation. Right aortic arch combined with intracardiac and extracardiac malformations 2 cases. 39 cases of live fetus postpartum confirmed prenatal diagnosis 5 cases of right aortic arch with other severe malformation fetal choice induced labor (of which 4 cases of postmortem pathological results confirmed. One case of prenatal diagnosis without autopsy was followed up closely. One case of postpartum echocardiography did not match the results of prenatal echocardiography in 14 cases. Conclusion: prenatal ultrasound scan of three vascular tracheostomy is the diagnosis of fetus. The reliable method of right aortic arch, Simple fetal right aortic arch may not cause obvious clinical symptoms.
【作者單位】： 中國(guó)醫(yī)科大學(xué)附屬盛京醫(yī)院超聲科;
【分類號(hào)】：R714.5;R445.1

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