| 摘要: |
| 【】 目的：探讨胎儿冠状静脉窦扩张及其合并心内外畸形的产前超声诊断特点。 方法：回顾性分析2011年7月~2015年4月于广州市妇女儿童医疗中心诊断胎儿冠状静脉窦扩张病例,并与出生后随访或引产后病理解剖结果进行对照分析。 结果：共有202例胎儿冠状静脉窦扩张,其中合并永存左上腔静脉194例(194/202, 96%),合并肺静脉异位引流4例,合并无顶冠状静脉窦1例,同时合并永存左上腔静脉及肺静脉异位引流1例,余2例为单纯冠状静脉窦扩张。其中合并其他畸形78例(78/202, 38.6%)。其中永存左上腔静脉合并其他心内畸形52例,合并心外畸形17例,合并心内外畸形7例；肺静脉异位引流合并其他心内畸形1例；无顶冠状静脉窦合并其他心内畸形1例。室间隔缺损、肺动脉狭窄、法洛氏四联症是最常见的并发心内畸形,单脐动脉是最常见的并发心外异常。 结论：永存左上腔静脉是胎儿冠状静脉窦扩张的主要原因,其中室间隔缺损、肺动脉狭窄、法洛氏四联症是最常见的并发心内畸形。产前超声对胎儿冠状静脉窦扩张及合并心内外畸形进行鉴别诊断具有重要诊断意义。 |
| 关键词: 冠状静脉窦扩张 永存左上腔静脉 肺静脉异位引流 |
| DOI： |
| 投稿时间：2016-04-15修订日期：2016-05-29 |
| 基金项目: |
|
| The diagnostic fetures of prenatal ultrasound in fetal dilated coronary sinus of which combined with cardiac and extracardiac malformation |
| yan can,wang hong ying |
| (Guangzhou Women and Children’s Medical Center) |
| Abstract: |
| 【】 Objective: To explore the prenatal diagnostic features of fetal dilated coronary sinus of which combined with cardiac and extracardiac malformation. Methods: This was a retrospective review of prenatally diagnosed cases with dilated coronary sinus in Guangzhou Women and Children’s Medical Center and underwent fetal ultrasound between July 2011 and April 2015. Results: 202 cases diagnosed fetal dilated coronary sinus were studied. There were 194 cases assembly of persistent left superior vena cava, of which 52 fetuses with other cardiac malformations, 17 cases of extracardiac defects and 7 cases of both cardiac and extracardiac defects; There were 4 cases of anomalous pulmonary venous drainage of which one fetus with other cardiac malformations; There was only one case of unroofed coronary sinus and meanwhile with cardiac anomalies; One case is not only of persistent left superior vena cava but also anomalous pulmonary venous drainage; The last two cases with no other anomalies. Ventricular septal defect and pulmonary stenosis and tetralogy of Fallot are the most common cardiac abnormalities and single umbilical artery is the most common extracardiac malformation. Conclusion: Persistent left superior vena cava is the most reason of dilated coronary sinus and the most common cardiac abnormalities are: ventricular septal defect and pulmonary stenosis and tetralogy of Fallot. Prenatal ultrasound has an important diagnostic value in fetal dilated coronary sinus and of which combined with cardiac and extracardiac malformation. |
| Key words: dilated coronary sinus persistent left superior vena cava, anomalous pulmonary venous drainage |
