摘要
目的:探讨超声检测胎儿单脐动脉预测胎儿先天畸形的诊断及临床价值。方法:采用超声检测58例胎儿单脐动脉,分析单脐动脉与合并畸形类型的关系及胎儿结局。结果:胎儿单脐动脉58例中左侧36例(62.1%),右侧22例(37.9%);单纯性单脐动脉25例(43.1%),合并其他结构畸形33例(56.9%),多为多系统复杂畸形,前3位为心血管系统畸形23例(39.7%),胎盘及羊水异常20例(34.5%),宫内生长迟缓(IUGR)12例(20.7%)。结论:胎儿单脐动脉左侧发生率高于右侧,约50%合并其他畸形;多合并多系统复杂畸形,临床预后差;大部分单纯性单脐动脉胎儿临床结局良好。
Objective：To explore the predictive value and clinical application of screening single umbilical artery by ultrasonic testing in diagnosis of fetus anomaly.Methods：Single umbilical artery of 58 cases were screened by ultrasonic testing.Then fetual outcome and the relationship of single umbilical artery and complication of fetus anomaly were analyzed.Results：A total of 36 cases had single umbilical artery in the left side（62.1%）,and 22 cases in right side（37.9%）.There were 25 cases with simple single umbilical artery（43.1%）,and 33 cases with complication of fetus anomaly（56.9%）.With most common type as multi-systematic complex deformity,cardiovascular system deformity occurred most frequently（23/58,39.7%）,followed by abnormal placenta and amniotic fluid（20/58,34.5%）and intrauterine growth retardation（IUGR）（12/58,20.7%）.Conclusions：The incidence of single umbilical srtery on the left side is higher,and the complication incidence of fetus anomaly is 50%.The most common type of deformity is multi-systematic complex deformity,with poor clinic prognosis.While the prognosis of single umbilical artery is better.
出处
《海南医学院学报》
CAS
2010年第9期1214-1217,共4页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100343)~~
关键词
胎儿畸形
单脐动脉
超声诊断
Fetus anomaly； Single umbilical artery； Ultrasonic testing；
