产前超声对胎儿永存左上腔静脉的诊断及鉴别诊断  

Value of prenatal ultrasonography in diagnosis and differential diagnosis of persistent left superior vena cava

作　　者：施海建[1] 丁洁[2] 姥义[1] 陈言[1] 吴晓燕[1] 

机构地区：[1]中国人民解放军第101医院特诊科,江苏无锡214044 [2]南京医科大学附属无锡市妇幼保健院超声科,江苏无锡214044

出　　处：《医学影像学杂志》2016年第11期1987-1989,共3页Journal of Medical Imaging

摘　　要：目的探讨产前超声检查在诊断胎儿永存左上腔静脉(PLSVC)中的诊断价值。方法回顾分析24例经我院诊断最后确诊的永存左上腔静脉胎儿的超声图像,总结不同类型的胎儿永存左上腔静脉的超声特点。结果 23例永存左上腔静脉胎儿在出生后经新生儿心脏超声证实。其中10例合并内脏反位,6例单纯PLSVC,10例合并其他畸形(包括1例合并完全性心内膜垫缺损,1例左室发育不全,1例二尖瓣闭锁,2例右位主动脉弓,2例室间隔缺损,1例合并Dandy-Walker畸形,1例肾积水,1例单脐动脉)。漏诊1例。结论产前超声检查对诊断胎儿永存左上腔静脉具有重要的价值,是首选的检查方法。Objective To explore the diagnostic value of prenatal ultrasonography in diagnosis and differential diagnosis of persistent left superior vena cava. Methods Prenatal sonograms of 23 fetuses diagnosed as persistent left superior vena eava and confirmed by postpartum echoeardiography were analyzed retrospectively. Different types of Persistent left superior vena cava Were summarized. Results Twenty-three case with persistent left superior vena cava were detected by postpartum echocardiography, including 10 cases of heterotaxy, 6 cases of isolate Persistent left superior vena eava, 10 cases combined with other anomalies （ Among them, 1 had complete endoeardieal cushion defect, 1 had rudimentary left ventricle, 1 had mitral atresia, 2 had right sided aortic arch, 2 had ventricular septal defect, 1 had Dandy-Walker deformity, 1 had hydronephrosis, 1 had single umbilical artery）. 1 case was missed diagnosis. Conclusion There is an important clinical significance of assessment of PLSVC in fetal screening and It＇ s the preferred inspection method to diagnose PLSVC.

关 键 词：胎儿 永存左上腔静脉 超声检查 产前 

分 类 号：R722[医药卫生—儿科] R445.1[医药卫生—临床医学]