摘要
目的研究超声诊断胎儿脐门体静脉分流(UPSVS)情况,分析以往文献,总结超声诊断特征及患儿预后。方法选取1例于该院产前超声诊断的胎儿(2018年9月—2019年9月)作为研究对象,行超声检查+三维表面成像检查,检查胎儿回声,判断胎儿大小,分析羊水指数,记录胎心率、脐动脉血流,观察胎儿头颅、四肢、腹部、心房等特征,综合分析超声印象。结果产妇宫内中孕,为单活胎,胎儿单脐动脉,下腔静脉增宽,静脉导管入口稍偏低,考虑静脉导管-体静脉分流(DVSS),分析产前超声诊断对于胎儿预后、母婴结局有积极影响和重要作用。结论产前超声诊断UPSVS,具有较高准确率,可准确诊出畸形,对于胎儿预后、母婴结局具有重要价值。
Objective To study the ultrasound diagnosis of fetal umbilical portal systemic shunt(UPSVS),analyze the previous literature,and summarize the ultrasound diagnosis characteristics and prognosis of the child.Methods A fetus diagnosed by prenatal ultrasound in the hospital(September 2018 to September 2019)was selected as the research object,and ultrasound examination+three-dimensional surface imaging examination was performed to check fetal echo,determine fetal size,analyze amniotic fluid index,and record fetal heart rate,umbilical artery blood flow,observation of fetal head,limbs,abdomen,atrium and other characteristics,comprehensive analysis of ultrasound impression.Results The intrauterine pregnancy was a single live birth.The fetus had a single umbilical artery and widened inferior vena cava,and the venous catheter entrance was slightly lower.Consider venous catheter-systemic venous shunt(DVSS).Analysis of prenatal ultrasound diagnosis for fetal prognosis.The maternal and infant outcome has a positive influence and an important role.Conclusion Prenatal ultrasound diagnosis of UPSVS has a high accuracy rate and can accurately diagnose abnormalities.It is of great value for fetal prognosis and maternal and infant outcomes.
作者
曾昭取
ZENG Zhao-qu(Department of Ultrasound,Xiamen Hongai Hospital,Xiamen,Fujian Province,361009 China)
出处
《中外医疗》
2020年第24期168-170,182,共4页
China & Foreign Medical Treatment
关键词
胎儿
超声诊断
分流
母婴结局
Fetus
Ultrasound diagnosis
Shunt
Maternal and infant outcome
