摘要
目的总结无顶冠状静脉窦的产前超声声像图特征,以提高产前超声对该病的检出率。方法回顾性分析我院产前超声检出的7例胎儿无顶冠状静脉窦的资料,总结无顶冠状静脉窦产前超声诊断要点,对比分析产后超声心动图或引产后胎儿的病理解剖结果,同时回顾分析国内外相关文献,总结无顶冠状静脉窦产前超声诊断经验。结果7例胎儿无顶冠状静脉窦中,5例为完全型无顶冠状静脉窦,均合并右侧异构综合征,引产后尸体解剖证实;2例为终末部分型无顶冠状静脉窦,仅合并永存左上腔静脉,羊水染色体核型分析均正常,产后复查超声心动图证实。结论胎儿无顶冠状静脉窦产前超声有特征性表现,产前超声能明确诊断该疾病;冠状静脉窦长轴切面观察窦壁完整性是诊断无顶冠状静脉窦的重要切面。
Objective To summarize the prenatal ultrasonographic characteristics of unroofed coronary sinus(URCS)for improving the prenatal echocardiography diagnostic accuracy of URCS.Methods The retrospective review for prenatal ultrasonogram of 7 fetuses was applied,which were diagnosed as URCS.The prenatal ultrasonographic characteristics of 7 fetuses with URCS were reviewed and comparatively analyzed with postpartum autopsy findings or postnatal echocardiography.The relevant literatures referring to the prenatal diagnosis of URCS were reviewed.The experience of prenatal diagnosis of URCS were summarized.Results In 7 cases with URCS,5 cases of completely URCS were associated with right atrial isomerism syndrome and confirmed by postpartum autopsy,and 2 cases of partially URCS were only with persistent left superior vena cava and confirmed by postnatal echocardiography.The karyotype analysis of 2 cases of partially URCS on amniotic fluid was normal.Conclusions There are some characteristic signs in ultrasonic features of URCS.URCS can be diagnosed by prenatally ultrasonography.A long axial section of the coronary sinus is the most important view for prenatal ultrasonic diagnosis of URCS.
作者
陈琳
周柳英
伍芸
阳立文
陈桦
杨林华
程桂静
沈祥君
Chen Lin;Zhou Liuying;Wu Yun;Yang Liwen;Chen Hua;Yang Linhua;Cheng Guijing;Shen Xiangjun(Department of Echocardiography,Chengdu Women and Children's Central Hospital,Chengdu 610031,China)
出处
《中华超声影像学杂志》
CSCD
北大核心
2018年第12期1075-1079,共5页
Chinese Journal of Ultrasonography
关键词
超声检查
产前
胎儿
无顶冠状静脉窦
Ultrasonography,prenatal
Fetus
Unroofed coronary sinus
作者简介
通信作者:周柳英,Email:18908098220@163.com
