摘要
目的：探讨产前超声心动图在肺动脉闭锁和永存动脉干及主动脉闭锁的鉴别诊断价值，提高对3种疾病的产前诊断率。方法：回顾性分析我院超声心动图检查明确诊断的先天性心脏病402例，3种疾病患儿共12例。结果：产前超声心动图12例患儿中诊断永存动脉干7例（其中1例为肺动脉闭锁误诊），肺动脉闭锁3例，升主动脉闭锁2例，所有患儿均合并其他心内畸形。结论：产前超声心动图是诊断胎儿大动脉畸形最重要的方法；虽然三者声像图表现存在交织，但又都有自己特殊声像图特征，可以用来鉴别诊断；肺动脉及其分支完全闭锁和永存动脉干两者是鉴别诊断的难点。
Abstract
Objective: To investigate the differential diagnosis value of pulmonary atresia, persistent truncus arteriosus and aortic atresia by prenatal echocardiography, to improve the diagnostic rate of three kinds of diseases. Methods: We analyzed retrospectively 402 fetal hearts of congenital heart disease in our department. Twelve fetuses were diagnosed as the three kinds of diseases. Results: In all 12 fetuses, 7 fetuses were proved as persistent truncus arteriosus(one case misdiagnosed as pulmonary atresia), 2 fetuses with aortic atresia, 3 fetuses with pulmonary atresia. All of them were accompanied with other heart malformation. Conclusion: Echocardiography is the most important method to diagnose fetus with artery malformation. Although there are lots of common points among these three ultrasonographic performance, each of them has its own characteristics, which could be used for differential diagnosis. The difficulty is the differential diagnosis on pulmonary artery complete atresia and persistent truncus arteriosus.
关键词
肺动脉闭锁 /
心脏病 /
超声心动描记术 /
多普勒 /
彩色 /
超声检查 /
产前
Key words
Pulmonary atresia /
Heart diseases /
Echocardiography /
Doppler /
color /
Ultrasonography /
prenatal
缪 伟.
肺动脉闭锁和永存动脉干及主动脉闭锁的产前超声心动图鉴别诊断[J]. 中国临床医学影像杂志. 2015, 26(6): 421-423
MIAO Wei.
Differential diagnosis of pulmonary atresia, persistent truncus arteriosus and aortic atresia by prenatal echocardiography[J]. Journal of China Clinic Medical Imaging. 2015, 26(6): 421-423
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