胎儿永存动脉干的产前超声诊断  

Prenatal Ultrasonic Diagnosis of Fetal Persistent Truncus Arteriosus

作　　者：裴彩英[1] 陈娇[1] 周小林[2] 郭楠[1] 朱琦[1] 

机构地区：[1]四川大学华西第二医院超声科,成都市610041 [2]成都中医药大学附属医院超声科

出　　处：《中国超声医学杂志》2011年第1期70-72,共3页Chinese Journal of Ultrasound in Medicine

基　　金：国家重点基础研究发展计划(973计划:No.2007CB511905)

摘　　要：目的探讨超声心动图产前诊断胎儿永存动脉干的临床价值。方法对57例永存动脉干胎儿超声心动图资料进行回顾性分析总结。结果产前诊断胎儿永存动脉干57例,37例经产后病理证实(其中5例为法洛四联症),2例经产后超声心动图确诊,18例失访。胎儿永存动脉干的主要声像图特征是室间隔缺损,心脏只发出1支大动脉和肺动脉起源于干动脉。结论超声心动图产前诊断胎儿永存动脉干具有重要的临床价值,但应注意与多种胎儿复杂心脏病鉴别。Objective To explore the clinical value of fetal echocardiography in prenatal diagnosis of fetal truncus artery. Methods Fetal echocardiography from 57 patients with persistent truncus arteriosus was retrospectively analyzed and summarized. Results The prenatal diagnosis showed persistent truncus arteriosus in 57 cases. 37 cases were pathologically confirmed post-partum（ineluding 5 case of tetralogy of Fallot）, 2 cases were confirmed with postnatal echocardiography and 18 cases were lost. Echocardiographic characteristics of fetal truncus artery were larger showed as ventricular septal defect with only 1 great artery arising from heart, and pulmonary artery arising from trun- cusartery. Conclusions Echocardiography shows important value in accurate diagnosis of fetal truneus artery and cau tion should be paid in differential diagnosis with other fetal complicated congenital heart diseases.

关 键 词：超声检查 产前 永存动脉干 胎儿 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.5[医药卫生—诊断学]