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胎儿先天性冠状动脉瘘的超声心动图诊断及影像特征分析

Echocardiography diagnosis and imaging characteristics analysis of fetal congenital coronary artery fistula
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摘要 目的探讨胎儿先天性冠状动脉瘘(CAF)的超声心动图诊断价值及影像特征。方法回顾性分析2015年10月至2018年10月我院新生儿科收治的3例先天性CAF患儿的临床资料。3例患儿均经新生儿超声心动图和心导管检查确诊为CAF,分析其产前超声心动图的影像学特征。结果新生儿超声心动图检查结果:3例胎儿中,单纯右冠状动脉右室瘘1例,单纯左冠状动脉右室瘘1例,右冠状动脉左室瘘合并室间隔缺损1例,与产前超声心动图的诊断结果完全一致,产前超声诊断准确率为100%。结论产前行胎儿超声心动图检查对CAF的检出率较高,有利于产后早期诊断和治疗。 Objective To investigate the diagnostic value and imaging characteristics of echocardiography on fetal congenital coronary artery fistula(CAF).Methods The clinical data of 3 children patients with congenital CA F admitted to the neonatology department of our hospital from October 2015 to October 2018 were retrospectively analyzed.3 children patients were diagnosed with CAF by neonatal echocardiography and cardiac catheterization.The imaging characteristics of prenatal echocardiography were analyzed.Results The results of neonatal echocardiography showed among the three fetuses,there was 1 case of simple right coronary arterial right ventricular fistula,1 case of simple left coronary arterial right ventricular fistula,and 1 case of right coronary arterial left ventricular fistula with the ventricular septal defect.The diagnosis results were comletely consistent with prenatal echocardiography,and the accuracy rate of prenatal ultrasound diagnosis was 100%.Conclusion Prenatal fetal echocardiography has a higher CAF detection rate,and it is favorable for early diagnosis and treatment.
作者 刘蕊 LIU Rui(Department of Ultrasound,General Hospital of Hebi Coal Industry(Group)Company Limited,Hebi 458000,Henan Province,China)
出处 《罕少疾病杂志》 2021年第1期27-28,共2页 Journal of Rare and Uncommon Diseases
关键词 先天性冠状动脉瘘 超声心动图 诊断价值 影像特征 Congenital Coronary Artery Fistula Echocardiography Diagnostic Value Imaging Characteristics
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