三血管观对胎儿主动脉弓与肺动脉分支异常的超声诊断价值  

Value of combination of three-vessel views in ultrasound diagnosis of fetal aortic arch and pulmonary arterial branch anomalies

作　　者：许燕[1] 接连利[3] 姜志荣[2] 高翔[3] 程建[3] 

机构地区：[1]青岛大学附属医院心脏超声科,266003 [2]山东省日照市人民医院超声科,276826 [3]山东省日照市人民医院超声科

出　　处：《中华超声影像学杂志》2015年第5期398-401,共4页Chinese Journal of Ultrasonography

摘　　要：目的探讨三血管观对胎儿主动脉弓与肺动脉分支异常的超声诊断价值。方法回顾性分析66例产前超声诊断主动脉弓与肺动脉分支异常胎儿的超声图像、尸检与手术资料及生后随访结果，总结在三血管观（三血管气管切面、三血管切面及三血管肺动脉分支切面）的异常声像图表现及出现频率。结果66例胎儿中52例胎儿主动脉弓异常，其中右位主动脉弓伴左侧动脉导管32例，双主动脉弓4例，迷走右锁骨下动脉7例，主动脉缩窄6例，主动脉弓离断3例；14例胎儿肺动脉分支异常，其中肺动脉交叉10例，左肺动脉异常起源于主动脉弓2例，肺动脉吊带2例。66例胎儿主动脉弓和肺动脉分支异常在三血管气管切面、三血管切面及三血管肺动脉分支切面的出现频率分别为80．3％、19．7％、39．4％。结论三血管观对胎儿主动脉弓和肺动脉分支异常的超声诊断具有重要价值。Objective To evaluate the role of combination of three-vessel views in ultrasound diagnosis of fetal aortic arch and pulmonary arterial branch anomalies. Methods The data of 66 cases of fetal aortic arch and pulmonary arterial branch anomalies were retrospectively analysed, including echocardiographic data, autopsy and operation records and postnatal follow-up results. Echocardiogaphic features and display frequencies on three vessels and trachea view（3VT）, three vessels view（3VV） and three vessels and pulmonary arterial branches view（3VP） were summarized. Results There were 52 cases of aortic arch abnormalities,including 32 cases of right aortic arch with left ductus arteriosus,4 cases of double aortic arch, 7 cases of aberrant right subclavian artery, 6 cases of eoarctation of aorta and 3 cases of interruption of aortic arch. Fourteen cases were diagnosed pulmonary aterial branch abnormalities,including 10 cases of crossed pulmonary arteries,2 cases of anomalous origin of left pulmonary artery from aortic arch and 2 cases of pulmonary artery sling. The display frequencies of fetal aortic arch and pulmonary arterial branch anomalies on 3VT,3VV and 3VP were 80.3% ,19.7% and 39.4%. Conclusions The combination of three-vessel views is of great value in prenatal diagnosis of fetal aortic arch and pulmonary arterial branch anomalies.

关 键 词：超声检查 产前 心脏缺损 先天性 三血管观 主动脉弓 肺动脉分支 

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]