超声对双胎输血综合征宫内术前诊断与术后效果观察的应用  

Value of sonographic study in twin-twin transfusion syndrome

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作  者:俞波[1] 褚红女[1] 高枫[1] 高樱[1] 蒋伟红[1] 刘丽莉[1] 

机构地区:[1]杭州师范大学医学院附属医院超声科,杭州310015

出  处:《影像诊断与介入放射学》2010年第6期354-356,共3页Diagnostic Imaging & Interventional Radiology

基  金:浙江省钱江人才计划资助项目(编号:2009R10071);浙江省医药卫生科学研究基金计划(2008A130)

摘  要:目的探讨超声对双胎输血综合征宫内术前诊断与术后效果观察的价值。方法回顾分析10例双胎输血综合征并超声引导下行胎盘血管交通支激光阻断术病例,分析其二维声像图特征及彩色多普勒检测结果。结果共有5个胎儿存活,输血胎与受血胎双顶径和股骨径差距缩小或持平,两侧羊膜囊内羊水指数正常,受血胎皮下水肿减轻。彩色多普勒血流图示;存活胎儿脐动脉血流指数PI值、S/D值较术前明显下降(P<0.01)。结论双胎输血综合征可被超声检查发现;双胎输血综合征有其特有的异常表现,并可在超声引导下行宫内手术。Objective To assess the value of ultrasound before and after fetal surgery in twin-twin transfusion syndrome. Methods Two-dimensional and color Doppler ultrasound in 10 patients who had ultrasound-guided laser interruption surgery of the placental anastomotic vessels for twin-twin transfusion syndrome were retrospectively analyzed. Results Of five surviving fetuses, the discrepancy of bi-parietal diameters and femur length between donor and recipient fetuses was reduced or unchanged after surgery. The amniotic fluid indices in both anmionic sacs were normal. Cutaneous dropsy was reduced in the recipient fetuses. The color Doppler flow indices, resistive indices and systolic:diastolic ratios were significantly reduced after surgery (P〈0.01). Conclusion Twin-twin transfusion syndrome can be detected by ultrasonography and treated successfully by ultrasound-guided intrauterine surgery.

关 键 词:双胎输血综合征 超声检查 宫内手术 

分 类 号:R445.1[医药卫生—影像医学与核医学] R714.2[医药卫生—诊断学]

 

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