刘雨函,蔡爱露,姜红霞,韩冰,解丽梅,杨泽宇.产前超声诊断先天性食管闭锁[J].中国医学影像技术,2010,26(9):1745~1747
产前超声诊断先天性食管闭锁
Prenatal ultrasound in the diagnosis of congenital esophageal atresia
投稿时间:2010-04-30  修订日期:2010-05-31
DOI:
中文关键词:  食管闭锁  超声检查,产前
英文关键词:Esophageal atresia  Ultrasonography, prenatal
基金项目:国家科技支撑计划(2006BAI05A04)。
作者单位E-mail
刘雨函 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
蔡爱露 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004 caial1224@sina.com 
姜红霞 四平市中心医院超声科,吉林 四平 136000  
韩冰 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
解丽梅 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
杨泽宇 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
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中文摘要:
       目的 探讨产前超声诊断先天性食管闭锁的价值。方法 对22胎疑似食管闭锁的胎儿进行系统、多切面的超声扫查,包括颈部和上纵隔的冠状切面与矢状切面,详细观察食管囊袋声像图特征。结果 11胎产前超声显示食管囊袋,其中9胎产后证实为先天性食管闭锁,2胎失访;11胎未显示食管囊袋的胎儿,产后证实为正常新生儿。最早显示食管囊袋的时间为26孕周。结论 产前超声对先天性食管闭锁的诊断具有重要价值,多切面扫查胎儿颈部和上纵隔,探测食管囊袋,有助于提高食管闭锁的检出率。
英文摘要:
      Objective To observe the value of prenatal ultrasound in the diagnosis of congenital esophageal atresia (EA). Methods Systematic multiplanar ultrasonographic scanning were performed in 22 fetuses with suspected EA. Scan of the coronal plane and sagittal plane of the neck and upper mediastinum were included and image features of esophageal pouch were observed. Results Esophageal pouch was demonstrated in 11 fetuses, among which EA was confirmed in 9 fetuses after delivery, while other 2 fetuses were lost during following-up. Esophageal pouch was not demonstrated in 11 fetuses, and all were postpartum comfirmed normal neonates. The earliest gestational age of pouch visualization was 26 weeks. Conclusion Prenatal ultrasonography has important value in the diagnosis of EA. Multiple views scanning of the neck and upper mediastinum is helpful to detect esophageal pouch, which can increase the detection rate of EA.
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