產(chǎn)前多普勒超聲診斷單臍動脈、持續(xù)性右臍靜脈胎兒與畸形的關(guān)系
發(fā)布時間:2018-01-02 17:11
本文關(guān)鍵詞:產(chǎn)前多普勒超聲診斷單臍動脈、持續(xù)性右臍靜脈胎兒與畸形的關(guān)系 出處:《海南醫(yī)學(xué)》2016年23期 論文類型:期刊論文
更多相關(guān)文章: 多普勒超聲 產(chǎn)前 單臍動脈 持續(xù)性右臍靜脈 畸形
【摘要】:目的探討產(chǎn)前多普勒超聲診斷單臍動脈、持續(xù)性右臍靜脈胎兒與畸形的關(guān)系。方法選取2011年1月至2015年5月在我院進(jìn)行產(chǎn)前多普勒超聲診斷的胎兒220例,根據(jù)超聲診斷結(jié)果將其分為單臍動脈胎兒160例(A組)和持續(xù)性右臍靜脈胎兒60例(B組),分析并比較兩組胎兒合并畸形的情況。結(jié)果 A組胎兒中有46例合并畸形,檢出率為28.8%;46例合并畸形胎兒中15例為心臟異常,11例為泌尿生殖系統(tǒng)異常,10例為神經(jīng)系統(tǒng)異常,其他為骨骼及肢體異常、胸部異常及顏面部異常,分別為5例、3例與2例。B組胎兒中15例合并畸形,檢出率為25.0%;15例合并畸形胎兒中4例為心臟異常,4例為骨骼及肢體異常,3例為神經(jīng)系統(tǒng)異常,2例為消化系統(tǒng)異常,1例胸部異常,1例為泌尿生殖系統(tǒng)異常。結(jié)論患有單臍動脈、持續(xù)性右臍靜脈的胎兒具有較高合并畸形的概率,臨床上進(jìn)行產(chǎn)前超聲檢查對預(yù)防胎兒畸形,提高新生兒出生質(zhì)量具有非常重要的價值。
[Abstract]:Objective to investigate the prenatal diagnosis of single umbilical artery Doppler ultrasound, the relationship between persistent right umbilical vein and fetal malformation. Methods from January 2011 to May 2015 for prenatal Doppler ultrasound diagnosis in our hospital 220 cases of fetuses, according to the results of ultrasonic diagnosis can be divided into single umbilical artery (A group) and 160 cases of fetal persistent right umbilical vein 60 cases (B group), two groups were analyzed and compared with fetal deformity. Results in group A in 46 cases of fetal malformation, the detection rate was 28.8%; 46 cases with fetal malformation in 15 cases of cardiac abnormalities, 11 cases of genitourinary abnormalities, 10 cases of neurological abnormalities, other abnormal the bones and limbs, chest abnormalities and facial abnormalities were 5 cases, 3 cases and 2 cases in group.B in 15 cases of fetal malformation, the detection rate was 25%; 15 cases with fetal malformation in 4 cases of cardiac abnormalities, 4 cases of abnormal bone and limbs, 3 cases of nervous system Abnormal, 2 cases of digestive system abnormalities, 1 cases of chest abnormality, 1 cases of genitourinary abnormalities. Conclusion patients with single umbilical artery, persistent right umbilical vein malformation fetus with high probability of clinical prenatal ultrasound examination was performed on the prevention of fetal malformations, has very important significance to improve the quality of neonates.
【作者單位】: 海南西部中心醫(yī)院儋州市第一人民醫(yī)院超聲科;
【分類號】:R445.1;R714.5
【正文快照】: 單臍動脈與持續(xù)性右臍靜脈都是胎兒血管生理性異常,均易合并其他結(jié)構(gòu)畸形、早產(chǎn)等,由于受到血供異常情況的影響,此類胎兒圍生期死亡率較正常胎兒圍生期死亡率明顯增加[1],對胎兒及孕婦均會產(chǎn)生嚴(yán)重影響[2],近年來臨床醫(yī)師也對其給予了高度關(guān)注。近年來,隨著超聲技術(shù)在臨床上的
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