产前超声诊断胎儿单脐动脉的临床价值  

The clinical significance of prenatal ultrasonography of diagnosis of fetal single umbilical artery

作　　者：袁美贞[1] 任芸芸[1] 严英榴[1] 李笑天[1] 

机构地区：[1]复旦大学附属妇产科医院超声科,上海200011

出　　处：《复旦学报（医学版）》2010年第4期475-478,共4页Fudan University Journal of Medical Sciences

基　　金：十一五国家科技支撑计划项目(2006BAI05A00)

摘　　要：目的探讨产前超声诊断胎儿单脐动脉(single umbilical artery,SUA)伴发胎儿结构畸形的临床价值。方法回顾性分析2007年1月至2009年4月来我院检查的16 098例孕妇中,超声检查检出的101例SUA胎儿中伴发胎儿结构畸形的情况。结果在101例SUA胎儿中,未合并胎儿结构畸形的58例(57%);合并胎儿结构畸形的43例(43%)。SUA合并胎儿结构畸形的43例中,多系统结构畸形31例(58%);而在各系统结构畸形中,又以心血管系统畸形居首。结论超声检查发现胎儿SUA后,应仔细检查有无合并其他器官系统畸形,特别是心血管系统;且需加强对SUA胎儿产前产后的随访。Objective To evaluate the value of ultrasonography of diagnosis of fetal structural malformations associated with single umbilical artery（SUA）. Methods From January 2007 to April 2009,16 098 pregnant women in our hospital were performed ultrasound examination and fetuses associated with SUA were found in 101 cases.The relationship of SUA and the fetal structural abnormal states were analyzed. Results Among the 101 SUA cases,SUA as an isolated finding occurred in 58 cases（57%）,and the rest 43 cases（43%） had associated malformations.Twenty-five cases（58%） had multiple system anomalies,18 cases（42%） had single system anomalies,and the cardiovascular anomaly had the highest morbidity. Conclusions When SUA was found by ultrasonography,it is suggested to check carefully whether the fetus has structure abnormality,especially cardiovascular malformation.Moreover,it is necessary to strengthen prenatal and postnatal follow-up survey for single umbilical artery fetus.

关 键 词：产前 超声 单脐动脉 胎儿结构畸形 

分 类 号：R745.15[医药卫生—神经病学与精神病学]