胎儿单脐动脉超声检出率及临床分析.pdfVIP

528 国际妇产科学杂志2012 年10 月第39 卷第5 期 J Int Obstet Gynecol October 2012 Vol. 39 No. 5 论 著 儿单脐动脉超声检出率及临床分析 晶 黄 健 钟瑜 揖摘 要铱 目的 探讨产前超声筛查胎儿单脐动脉声像图的特征及其临床意义遥方法 选择2007 年 12 月要2009 年7 月于天津市中心妇产科医院进行产前超声检查的38 2 15 例患者 发现单脐动脉366 例 其中经分娩或引产证实 的40 例住院患者获得全部胎儿单脐动脉的临床和超声资料遥 结果 胎儿单脐动脉检出率约0.96% 渊366/38 215冤 40 例超声均诊断为胎儿单脐动脉 超声显示在胎儿盆腔膀胱及脐轮斜切面仅见膀胱一侧脐动脉走行遥其中 超声发现合 并胎儿其他系统发育异常5 例而引产 因宫内死胎引产 1 例曰继续妊娠并生产的34 例中 有 12 例在妊娠期间和产程 中出现异常 7 例胎儿发现异常遥 结论 彩 多普勒超声检查能准确诊断胎儿单脐动脉 超声检查发现胎儿单脐动脉 时需多角度动态观察以明确是否合并其他器官发育畸形 对于继续妊娠者需密切注意胎儿发育情况和产程遥 揖关键词铱 超声检查 多普勒 彩 曰 单脐动脉曰 胎儿曰 诊断 Clinical Value and Ultrasound Screening of Fetal Single Umbilical Artery W U Jing H UA NG Jian W U Zhong -yu. Dep artment of Ultrasonograp hy Tianj in Central Hosp ital of Gynecology and Obs tetrics Tianj in 300100 China 揖Abstract 铱 Objective To evaluate the clinical role and the ultrasonographic features in prenatal diagnosis of single umbilical artery 渊SUA 冤 in Tianjin. Methods To review 40 fetuses with SUA found in our hospital from December 2007 to July 2009 in Tianjin. Their clinical manifestation and pregnancy outcome were followed up. Results In 40 cases only single umbilical artery could be detected by ultrasonography. Among them 5 cases combined with other abnormalities by ultra鄄 sonography 1 case was induced of labor because of intrauterine fetal death. In the cases going on with their pregnancy 12 cases had disorders during the pregnancy course or the labor 7 cases were found to be combined with other abnormalities. Conclusions Ultrasound-Doppler can diagnose the SUA correctly. When we find a fetus with SUA we should analyze it from different aspect to except other organic malformations. To the cases going on with their pregnancy we must pay more attention to the fetuses growth and delivery. 揖Key words 铱 Ultras