超声诊断单脐动脉与伴发胎儿畸形的相关性-影像医学与核医学专业论文.docxVIP

重庆医 重庆医科大学硕士研究生学位论文 万方数据 万方数据 英汉缩略语名词对照 英文缩写 英文全称 中文全称 SUA Single umbilical artery 单脐动脉 EIF Echogenic intracardiac focus 心内强回声灶 UA Umbilical artery 脐动脉 UV Umbilical vein 脐静脉 IUGR Intrauterine growth retardation 宫内生长受限 AMN Amniotic fluid 羊水 PL Placenta 胎盘 BL Bladder 膀胱 LK Left kidney 左肾 RK Right kidney 右肾 ASD Atrial septal defect 房间隔缺损 VSD Ventricular septal defect 室间隔缺损 LV Left ventricle 左心室 LA Left atrium 左心房 RV Right ventricle 右心室 RA Right atrium 右心房 CDFI Color Doppler Flow Imaging 彩色多普勒血流显像 1 超声诊断单脐动脉与伴发胎儿畸形的相关性 摘 要 目的：研究超声产前诊断单脐动脉（SUA）与伴发胎儿各系统畸 形类型的相关性。 方法：回顾性分析我院自 2010 年 1 月--2012 年 12 月超声诊断的 71 例 SUA 胎儿超声资料，统计其伴发畸形发生率及各系统畸形的类 型，并与产后及病理学检查结果对照分析。 结果：(1)SUA 中 47.89%（34/71）伴发胎儿畸形,心血管系统畸形 居首，其次为泌尿系统畸形； (2) SUA 合并心内强回声灶（EIF），心 血管畸形发生率约 41.18%（7/17），高于无 EIF 组 14.81%（8/54）（P ＜0.05）；(3) SUA 泌尿系畸形中，单侧肾囊性发育不良和肾缺失发生 率共约 81.82%（9/11）；（4）SUA 合并中枢神经系统畸形低于心血管及 泌尿系，发生率约 20.59%（7/34）；（5）SUA 伴发畸形中 44.12%（15/34） 为两种以上复合畸形。 结论：SUA 伴发胎儿畸形率高，了解 SUA 与部分系统畸形的相关 性能指导产前超声对 SUA 胎儿各重要系统依序进行筛查及动态随访。 关键词：超声诊断，单脐动脉，胎儿畸形 基金项目:重庆市卫生局面上课题( No.2012-2-175) 2 RELATIONSHIP BETWEEN ULTRASONOGRAPHY FOR DIAGNOSING SINGLE UMBILICAL ARTERY AND ASSOCIATED FETAL ANOMALIES ABSTRACT Objective: Study of prenatal ultrasound diagnosis of single umbilical artery (SUA) and comorbid fetal malformation type of correlation between each system. Methods: Retrospective analysis in January 2010 - December 2012 ultrasonic diagnosis of 71 cases of SUA fetal ultrasound data, statistics and its concomitant abnormalities and malformations of each system types, and contrast analysis with postpartum and pathologic findings. Results: (1) SUA in 47.89% (34/71) with fetal abnormalities and cardiovascular system malformation tops, followed by urinary tract malformation;(2)SUA merge echogenic intracardiac focus (EIF), cardiovascular malformation rate of about 41.18% (7/17), higher than without EIF group 14.81% (8/54) (P 0.05) ；(3) SUA urinary tract abnormalities, unilateral renal capsule dysplasia and incidence of ki