30例双胎输血综合征声像图特征的回顾性分析  

Prenatal ultrasonographic features of twin-to-twin transfusion syndrome: a retrospective analysis of 30 cases

作　　者：李哲[1,2] 张晓航[1] 李锐[1] 华兴[1] 钟华[1] 薛雅方[1] 郭燕丽[1] 陈朝晖[1] 唐春霖[1] 

机构地区：[1]第三军医大学西南医院超声科,重庆400038 [2]解放军第546医院超声科,乌鲁木齐841700

出　　处：《第三军医大学学报》2012年第2期122-125,128,共5页Journal of Third Military Medical University

基　　金："十一五"国家科技支撑计划(2006BAI05A04);重庆市人口与计划生育科研课题(2007-1-4)~~

摘　　要：目的探讨产前超声检查对双胎输血综合征的预测、诊断及价值。方法对2006年8月至2011年3月在本科确诊,并有最终随访结果的30例双胎输血综合征孕妇的60个胎儿的超声表现进行回顾性分析。结果 30例孕妇中共60个胎儿,17例孕妇的胎儿S/D增高,而且受血儿较供血儿增高明显;14例孕妇的受血儿心脏增大,1例孕妇供血儿心脏增大;8例孕妇的供血儿为贴壁儿;20例孕妇接受胎儿镜治疗,15例较治疗前有明显好转;脐带帆状入口和边缘入口的胎儿经治疗后存活率低。结论产前超声对双胎输血的及时诊断、治疗和提高胎儿生存率具有明显的临床价值。Objective To identify the clinical value of prenatal ultrasonography to predict and diagnose twin-to-twin transfusion syndrome. Methods The uhrasonographic data of 30 pregnant women of twin-totwin transfusion syndrome including 60 fetuses who were diagnosed and followed up in our hospital from Aug. 2006 to Mar. 2011 were retrospectively analyzed. Results Among the 30 women with 60 fetuses, the S/D value of 17 pregnant women＇ s fetuses was increased, particularly in the recipient fetus. The 14 cases of recipient fetuses had enlarged heart, but the heart of one donor fetus showed Same symptom. There were 8 donors attached to chorionic membrane. Among the 20 cases underwent fetoscopic treatment, 15 cases had significantly changes. The fetus having fan-shaped and edge umbilical cord inlet had lower survival rate. Conclusion Prenatal ultrasonic examination is helpful to the immediate diagnosis and treatment of twin-to-twin transfusion syndrome, and has a positive effect to improve fetuses＇ survival.

关 键 词：超声表现 双胎输血综合征 胎儿镜 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.53[医药卫生—诊断学]