摘要: |
目的 探讨胎儿主动脉弓发育异常的产前超声诊断价值。方法 回顾性分析45例胎儿主动脉弓发育异常产前超声图像特征。结果 经产后证实胎儿主动脉弓发育异常45例, 其中主动脉弓缩窄15例(13例合并心内畸形,6例合并心外畸形);主动脉弓离断3例(均合并心内畸形);右位主动脉弓并迷走左锁骨下动脉、左位动脉导管12例(1例合并心内畸形);镜面右位主动脉弓14例(7例合并心内畸形,4例合并心外畸形);双主动脉弓1例(未合并心内畸形)。结论 主动脉弓离断、主动脉弓缩窄、镜面右位主动脉弓常合并心内畸形,部分合并心外畸形,产前明确主动脉弓发育异常及其合并心内、心外畸形情况,对于评价胎儿预后有重要指导意义。 |
关键词: 胎儿 主动脉弓 产前 超声诊断 |
DOI: |
投稿时间:2016-04-05修订日期:2016-04-15 |
基金项目:广西贵港市科技局科研项目(1505003):《多切面联合彩多普勒超声检查在胎儿先天性心脏病诊断中的应用研究》 |
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Prenatal ultrasonic diagnosis on fetal aortic arch dysplasia |
YAN Xingyan |
(Department of Ultrasound.Maternal and Child Health Hospital of Guigang) |
Abstract: |
Objective To explore the value of prenatal ultrasonic diagnosis on fetal aortic arch dysplasia and improve prenatal ultrasonic detection rate. Methods A retrospective analysis of prenatal ultrasonic characteristics and associated cardiac abnormalities of 45 cases of fetus with fetal aortic arch dysplasia. Results It was confirmed that there were 45 cases of fetus with aortic arch dysplasia after delivery. Of the 45cases, 15 were diagnosed with coarctation of aorta(13 cases complicated by cardiac structural abnormalities and 6 cases complicated by malformation of the external structure of the heart), 3 cases were interrupted aortic arch(all complicated by cardiac structural abnormalities), 12 cases were right aortic arch with aberrant left subclavian artery and left arterial duct (1 case complicated by cardiac structural abnormalities), 14 cases were mirrored right aortic arch ( 7 cases complicated by cardiac structural abnormalities and 4 cases complicated by malformation of the external structure of the heart), 1 case was double aortic arch (not complicated by cardiac structural abnormalities). Conclusion Interruption of aortic arch, aortic arch stenosis and mirrored right aortic arch are usually complicated by cardiac structural abnormalities, and partly complicated by malformation of the external structure of the heart. Prenatal diagnosis of fetal aortic arch abnormalities and their combined cardiac and external cardiac abnormalities has important guiding significance for evaluating the prognosis of the fetus. |
Key words: Fetus Aortic arch Prenatal ultrasonic diagnosis |