胎儿的周产期结局与产前诊断的心房尾动脉瘤
Funda Oztunc1, Nujin Ulug Murt2, Reyhan Dedeoglu2
1Department of Pediatric Cardiology, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey. foztunc@yahoo.com.
Pediatric cardiology
|September 4, 2023
概括
胎儿心房附带动脉瘤 (AAA) 是罕见的,发生在0.46%的胎儿中. 相关的心脏异常和胎儿水可能发生,需要详细的胎儿心声图.
科学领域:
- 心脏病学 心脏病学
- 产前诊断 在产前诊断
- 胎儿医学 胎儿医学
背景情况:
- 耳前附带动脉瘤 (AAA) 是一种罕见的先天性心脏异常.
- 胎儿AAA的产前诊断是可能通过心声回声学.
- 了解胎儿AAA的特征和结果对于管理至关重要.
研究的目的:
- 为了评估被诊断为心房附带动脉瘤 (AAA) 的胎儿的特征和结果.
- 确定胎儿AAA的发生率和相关条件.
- 分析胎儿AAA怀孕中的围产和产科结局.
主要方法:
- 1956年胎儿心声学记录的回顾性审查.
- 包括9个怀孕的胎儿AAA诊断和产后评估.
- 围产和产科结局的分析.
主要成果:
- 胎儿AAA的发生率为0.46%.
- 右侧AAA是最常见的 (77.8%),其次是左侧 (11.1%) 和双边 (11.1%).
- 与此相关的疾病包括心脏异常 (44.4%),心周溢血 (22.2%),以及非免疫性胎儿水 (11.1%).
- 新生儿和胎儿死亡率分别为22.2%和11.1%.
结论:
- 胎儿AAA与显著的心脏和非心脏异常有关.
- 对于胎儿AAA的怀孕,建议进行详细的心脏和结构超声波检查.
- 密切监测和管理对于受影响的胎儿至关重要.
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