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胎儿左侧异构综合征产前超声与病理解剖及血管铸型的对照研究

Comparison of the Prenatal Ultrasound,Autopsy and Vascular Cast in Diagnosis of Left Atrial Isomerism
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摘要 目的探讨超声、尸体解剖及铸型技术对胎儿左侧异构综合征的诊断价值。方法分析11例确诊左侧异构胎儿的超声、解剖及铸型资料并总结特征。结果下腔静脉离断100%(11/11),单心房81.8%(9/11),右室双出口72.7%(8/11),室间隔缺损72.7%(8/11),左心发育不良81.8%(9/11),主动脉弓缩窄或离断72.7%(8/11),降主动脉从肺动脉发出63.6%(7/11),两侧心耳呈左心耳形态72.7%(8/11),心率低并传导阻滞90.9%(10/11),肺分叶变异90.9%(10/11),多脾81.8%(9/11),中位肝100%(11/11)。超声漏诊1例下腔静脉离断,2例主动脉弓离断,6例降主动脉从肺动脉发出,未能诊断8例两侧心耳呈左心耳形态,10例肺分叶变异,9例多脾。结论产前超声对左侧异构综合征具有重要的诊断价值,产后解剖、血管铸型信息的回馈可补充诊断。 Objective To explore the value of prenatal ultrasound,autopsy and vascular cast in diagnosis of left atrial isomerism(LAI).Methods The results of ultrasound,autopsy and vascular cast after odinopoeia were compared,then the characteristics of LAI were summed.Results The inferior vena cava interruption was 100%(11/11),single atrium was 81.8%(9/11),double outlet right ventricle was 72.7%(8/11),ventricular septal defect was72.7%(8/11),hypoplastic left heart was 81.8%(9/11),aortic coarctation or interruption was 72.7%(8/11),aorta descendens originated from pulmonary artery was 63.6%(7/11),dextra auricula isomerism was 72.7%(8/11),low heart rate and conduction block was 90.9%(10/11),lobi pulmonis variation was 90.9%(10/11),polysplenia was81.8%(9/11),median liver was 100%(11/11).1 case with inferior vena cava interruption,2 cases with aortic interruption and 6 cases with aorta descendens from pulmonary artery were missed by prenatal ultrasound,8 cases with dextra auricula isomerism were failed to diagnose,10 cases with lobi pulmonis variation and 9 cases with polysplenia were also failed to diagrose.Conclusions Prenatal ultrasound has significant diagnostic value for LAI.It′s important to have further understanding about LAI through the feedback of autopsy and vascular cast.
作者 安鹏 王瑜 冯伟 袁伟 王启然 蔡兰兰 王玲 An Peng;Wang Yu;Feng Wei;Yuan Wei;Wang Qiran;Cai Lanlan;Wang Ling(Department of Ultrasound, Xiangyang No.1 People's Hospital Affiliated to Hubei University of Medicine,Xiangyang,Hubei 441000,China)
出处 《中国超声医学杂志》 CSCD 北大核心 2019年第5期472-475,共4页 Chinese Journal of Ultrasound in Medicine
基金 湖北省自然科学基金项目(No.2015CFC810).
关键词 产前超声 左侧异构综合征 解剖 血管铸型 Prenatal ultrasound Left atrial isomerism Anatomy Vascular cast
作者简介 通信作者:王瑜,E-mail:287383672@qq,com.
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