摘要
目的探讨提高迷走右侧锁骨下动脉(ARSA)的检出率,超声评估妊娠中期ARSA的可行性,ARSA在筛查21-三体及其与其他异常相关性中的表现。方法回顾性分析2013年1月～2017年12月在我院行产前超声筛查检出的ARSA 175例的临床资料,总结其检出方法并随访观察妊娠结局,观察产前超声诊断的ARSA胎儿有无合并其他畸形,并对出生后胎儿进行随访,记录其产后28天内各种生理指标、外观及Apgar评分。结果 175例ARSA均由彩色多普勒超声在三血管气管切面(Three vessels and tmchea view,3VT)检出,其中孤立ARSA 94例,合并其他畸形81例;除8例合并严重畸形胎儿引产外,65例出生儿均身体情况良好。结论 3VT是显示胎儿ARSA敏感且有效的切面,可显著提高其检出率;孤立的ARSA胎儿预后较好,若合并其他心内外畸形,则预后较差。
Objective To investigate the clinical value and prenatal diagnosis feasibility of fetal aberrant right subclavian artery(ARSA)with fetal echocardiography.Methods The data of175fetuses with ARSA were retrospectively reviewed from January,2013to December,2017.The prenatal and postnatal medical records,including the presence of fetal abnormalities,cardiac defect,karyotype and the outcomes of each pregnancy were summarized.Results The overall incidence of ARSA was0.24%(175/72524),all of which were detected via three vessels and tmchea view by fetal echocardiograph.Among the175cases,there were94cases as an isolated malformation,81cases combined with other defect.8cases with serious defect underwent termination of pregnancy,65cases were born alive.Conclusion Three vessels and tmchea view is a sensitive and feasible view for increasingly detecting fetuses with ARSA.The fetus with ARSA complicated with aneuploid karyotype,cardiac defects and extracardiac anomalies are at high risk of poor prognosis.
作者
詹春仙
吴秋梅
何甦辉
邓兴龙
刘敏
ZHAN Chun-xian;WU Qiu-mei;HE Shu-hui;DENG Xing-long;LIU Min(Ultrasound department,Fujian Provincial Maternity and Children's Hospital,affiliated hospital of Fujian Medical University,Fuzhou,Fujian,350001,China)
出处
《蛇志》
2018年第4期634-636,共3页
Journal of Snake
关键词
胎儿
迷走右锁骨下动脉
三血管气管切面
产前超声
主动脉弓切面
Fetus
Aberrant right subclavian artery
Three vessels and tmchea view
Prenatal ultrasound
Aortic arch view
