在胎儿具有完全异常的肺静脉连接的胎儿中进行产前诊断和产后验证
Xiaoying Xue1, Qiumei Wu1, Mingtao Xiong2
1Department of Medical Ultrasonics, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Frontiers in pediatrics
|June 23, 2023
概括
一个四步的产前超声波准确诊断胎儿的总异常肺静脉连接 (TAPVC),分类类型和相关条件. 然而,在产前诊断期间,孤立的TAPVC病例更频繁地被遗漏.
科学领域:
- 医学成像医学成像
- 胎儿医学 胎儿医学
- 心脏病学 心脏病学
背景情况:
- 胎儿全异常肺静脉连接 (TAPVC) 是一种复杂的先天性心脏缺陷.
- 准确的产前诊断对于规划管理和改善结果至关重要.
研究的目的:
- 系统地评估胎儿TAPVC四步产前超声波检查方案的诊断准确性.
- 评估该协议对分类TAPVC类型,识别肺静脉阻塞和检测相关形的能力.
主要方法:
- 对62个被证实TAPVC的胎儿进行了回顾性分析.
- 应用一个四个步骤的产前超声波查协议.
- 产前超声检查结果与产后心声学,手术或尸检数据的比较.
主要成果:
- 四步超声波正确识别了各种TAPVC类型 (心脏上,心脏内,心脏内,混合) 和相关条件,如右心房异体化.
- 错过了一个相关形的病例.
- 在产前遗漏了六例孤立的TAPVC病例,一个病例存在分类差异.
结论:
- 四个阶段的产前超声波对于全面的胎儿TAPVC评估是有效的,有助于产前咨询和新生儿护理.
- 孤立的TAPVC具有诊断挑战,并且在产前查期间更容易被遗漏.
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