产前超声在诊断胎儿永久性脐静脉及其相关畸形中的临床应用探讨
|
摘要
目的分析产前超声在诊断胎儿永久性脐静脉(PRUV)及其相关畸形中的应用价值。方法回顾分析了我院2016年5月至2018年5月孕中晚期行产前超声检查的8348位胎儿资料,分析胎儿超声检查的PRUV和相关畸形结果。结果8348位孕妇中,共检测出24例PRUV胎儿,检出率为0.28%,其中单独的PRUV胎儿有10例,合并其他畸形的PRUV胎儿14例。常见的合并的畸形有胎儿心脏结构的畸形(7/14),股骨偏短(2/14)。结论产前超声在诊断PRUV及其相关畸形中的具有较好的应用价值,临床上应仔细分析超声检查细节,以提高PRUV的检出率。
Objective:To analyze the value of prenatal ultrasound in the diagnosis of fetal permanent umbilical vein(PRUV)and its associated malformations. Methods:A retrospective analysis of 8348 fetal data of prenatal ultrasound in the pregnant women of mid-pregnancy period from May 2016 to May 2018 in our hospital was conducted,we analyzed the PRUV and related malformation results of fetal ultrasound examination. Results:Of the 8348 pregnant women,24 PRUV fetuses were detected,the detection rate was 0.28%,including 10 cases of PRUV fetus alone,and 14 cases of PRUV fetus with other malformations.Common combined malformations are malformations of the fetal heart structure(7/14)and short femurs(2/14). Conclusion:Prenatal ultrasound has a good application value in the diagnosis of PRUV and its related malformations. Clinically,the details of ultrasound examination should be carefully analyzed to improve the detection rate of PRUV.
Objective:To analyze the value of prenatal ultrasound in the diagnosis of fetal permanent umbilical vein(PRUV)and its associated malformations. Methods:A retrospective analysis of 8348 fetal data of prenatal ultrasound in the pregnant women of mid-pregnancy period from May 2016 to May 2018 in our hospital was conducted,we analyzed the PRUV and related malformation results of fetal ultrasound examination. Results:Of the 8348 pregnant women,24 PRUV fetuses were detected,the detection rate was 0.28%,including 10 cases of PRUV fetus alone,and 14 cases of PRUV fetus with other malformations.Common combined malformations are malformations of the fetal heart structure(7/14)and short femurs(2/14). Conclusion:Prenatal ultrasound has a good application value in the diagnosis of PRUV and its related malformations. Clinically,the details of ultrasound examination should be carefully analyzed to improve the detection rate of PRUV.
引文
[1]沈国芳,王亚欣,李勤,等.肝内型持续性右脐静脉胎儿预后及与门静脉变异的关系[J].实用妇产科杂志,2016,32(9):673-676.
[2]黄国庆,高枫,李国杰,等.胎儿孤立性持续性右脐静脉的超声特征和预后[J].中国超声医学杂志,2014,30(12):1136-1137.
[3]Kumar S V,Chandra V,Balakrishnan B,et al. A retrospective single centre review of the incidence and prognostic significance of persistent foetal right umbilical vein[J].Journal of Obstetrics&Gynaecology,2016,36(8):1050-1055.
[4]吴淑芬,陆志红,沈小玲.胎儿永久性右脐静脉的产前超声诊断及其意义[J].齐齐哈尔医学院学报,2015,(9):1266-1268.
[5]汪芷先,林小影,吕海云.胎儿永久性右脐静脉及其合并畸形的产前超声诊断[J].中国优生与遗传杂志,2017,(10):78-79.
[6]宁荣萍,何玉梅,陈红坚,等.胎儿永久性右脐静脉的产前超声诊断及漏诊分析[J].昆明医科大学学报,2016,37(4):118-120.
[7]Canavan T P,Hill L M. Neonatal Outcomes in Fetuses With a Persistent Intrahepatic Right Umbilical Vein[J].Journal of Ultrasound in Medicine,2016,35(10):2237-2241.
[8]俞琤,鲁红.胎儿持续性右脐静脉与畸形关系的探讨[J].中华超声影像学杂志,2009,18(9):824-825.
[9]Blazer S,Zimmer E Z,Bronshtein M. Persistent intrahepatic right umbilical vein in the fetus:a benign anatomic variant[J].Obstetrics&Gynecology,2000,95(3):433-436.
[10]张梅玉,王建芳,钟惠玲.产前超声诊断胎儿持续性右脐静脉合并畸形的应用价值[J].中国临床医学影像杂志,2013,24(7):522-524.
[11]崔涛.胎儿永久性右脐静脉对胎儿预后的意义[J].辽宁医学院学报,2010,31(4):341-342.
[12] Taipale P,Rovamo L,Hiilesmaa V. First‐trimester diagnosis of imperforate anus[J].Ultrasound in Obstetrics&Gynecology the Official Journal of the International Society of Ultrasound in Obstetrics&Gynecology,2005,25(2):187-8.
[13]沈国芳,王亚欣,李勤,等.肝内型持续性右脐静脉胎儿预后及与门静脉变异的关系[J].实用妇产科杂志,2016,32(9):673-676.
[14]方锋凯,肖丽珍.产前多普勒超声诊断单脐动脉、持续性右脐静脉胎儿与畸形的关系[J].海南医学,2016,27(23):3880-3882.
[15]李芹,孙涟漪,万长辉.产前超声诊断胎儿永久性右脐静脉及其合并畸形的临床价值[J].重庆医学,2017,46(2):253-254.
[16]袁美贞,任芸芸.产前超声诊断胎儿持续性右脐静脉及其合并畸形的临床价值[J].中华围产医学杂志,2012,15(7):416-419.
[17] Hoehn T,Lueder M,Schmidt K G,et al. Persistent right umbilical vein associated with complex congenital cardiac malformation[J].American Journal of Perinatology,2006,23(03):181-182.
[18] Capelle S L X. Persistent Right-Sided Umbilical Vein and Azygos Continuity associated with Ophthalmological and Pulmonary Malformations. Prenatal Diagnosis of an Exceptional Case[J].Gynecology&Obstetrics,2014,4(12):33-48.
[19]孟杰.胎儿永久性右脐静脉超声诊断及预后[J].临床和实验医学杂志,2013,12(16):1300-1301.
[20]李婧宇,王冰,蔡爱露,等.胎儿永久性右脐静脉的产前超声诊断及预后评价[J].中国医学影像技术,2012,28(1):137-139.
[21]杨帆,杨太珠,罗红,等.彩色多普勒超声诊断胎儿永久性右脐静脉及临床评估[J].实用妇产科杂志,2011,27(6):461-463.
[22] Giang D T C,Rajeesh G,Vaidyanathan B. Prenatal diagnosis of isolated interrupted inferior vena cava with azygos continuation to superior vena cava[J].Annals of Pediatric Cardiology,2014,7(1):49-60.
[23]段钰萍,黄丹,刘强,等.胎儿永久性右脐静脉彩色多普勒超声表现及预后[J].四川医学,2013,34(2):303-304.
[2]黄国庆,高枫,李国杰,等.胎儿孤立性持续性右脐静脉的超声特征和预后[J].中国超声医学杂志,2014,30(12):1136-1137.
[3]Kumar S V,Chandra V,Balakrishnan B,et al. A retrospective single centre review of the incidence and prognostic significance of persistent foetal right umbilical vein[J].Journal of Obstetrics&Gynaecology,2016,36(8):1050-1055.
[4]吴淑芬,陆志红,沈小玲.胎儿永久性右脐静脉的产前超声诊断及其意义[J].齐齐哈尔医学院学报,2015,(9):1266-1268.
[5]汪芷先,林小影,吕海云.胎儿永久性右脐静脉及其合并畸形的产前超声诊断[J].中国优生与遗传杂志,2017,(10):78-79.
[6]宁荣萍,何玉梅,陈红坚,等.胎儿永久性右脐静脉的产前超声诊断及漏诊分析[J].昆明医科大学学报,2016,37(4):118-120.
[7]Canavan T P,Hill L M. Neonatal Outcomes in Fetuses With a Persistent Intrahepatic Right Umbilical Vein[J].Journal of Ultrasound in Medicine,2016,35(10):2237-2241.
[8]俞琤,鲁红.胎儿持续性右脐静脉与畸形关系的探讨[J].中华超声影像学杂志,2009,18(9):824-825.
[9]Blazer S,Zimmer E Z,Bronshtein M. Persistent intrahepatic right umbilical vein in the fetus:a benign anatomic variant[J].Obstetrics&Gynecology,2000,95(3):433-436.
[10]张梅玉,王建芳,钟惠玲.产前超声诊断胎儿持续性右脐静脉合并畸形的应用价值[J].中国临床医学影像杂志,2013,24(7):522-524.
[11]崔涛.胎儿永久性右脐静脉对胎儿预后的意义[J].辽宁医学院学报,2010,31(4):341-342.
[12] Taipale P,Rovamo L,Hiilesmaa V. First‐trimester diagnosis of imperforate anus[J].Ultrasound in Obstetrics&Gynecology the Official Journal of the International Society of Ultrasound in Obstetrics&Gynecology,2005,25(2):187-8.
[13]沈国芳,王亚欣,李勤,等.肝内型持续性右脐静脉胎儿预后及与门静脉变异的关系[J].实用妇产科杂志,2016,32(9):673-676.
[14]方锋凯,肖丽珍.产前多普勒超声诊断单脐动脉、持续性右脐静脉胎儿与畸形的关系[J].海南医学,2016,27(23):3880-3882.
[15]李芹,孙涟漪,万长辉.产前超声诊断胎儿永久性右脐静脉及其合并畸形的临床价值[J].重庆医学,2017,46(2):253-254.
[16]袁美贞,任芸芸.产前超声诊断胎儿持续性右脐静脉及其合并畸形的临床价值[J].中华围产医学杂志,2012,15(7):416-419.
[17] Hoehn T,Lueder M,Schmidt K G,et al. Persistent right umbilical vein associated with complex congenital cardiac malformation[J].American Journal of Perinatology,2006,23(03):181-182.
[18] Capelle S L X. Persistent Right-Sided Umbilical Vein and Azygos Continuity associated with Ophthalmological and Pulmonary Malformations. Prenatal Diagnosis of an Exceptional Case[J].Gynecology&Obstetrics,2014,4(12):33-48.
[19]孟杰.胎儿永久性右脐静脉超声诊断及预后[J].临床和实验医学杂志,2013,12(16):1300-1301.
[20]李婧宇,王冰,蔡爱露,等.胎儿永久性右脐静脉的产前超声诊断及预后评价[J].中国医学影像技术,2012,28(1):137-139.
[21]杨帆,杨太珠,罗红,等.彩色多普勒超声诊断胎儿永久性右脐静脉及临床评估[J].实用妇产科杂志,2011,27(6):461-463.
[22] Giang D T C,Rajeesh G,Vaidyanathan B. Prenatal diagnosis of isolated interrupted inferior vena cava with azygos continuation to superior vena cava[J].Annals of Pediatric Cardiology,2014,7(1):49-60.
[23]段钰萍,黄丹,刘强,等.胎儿永久性右脐静脉彩色多普勒超声表现及预后[J].四川医学,2013,34(2):303-304.