| 苏珊珊,吕国荣.超声检测胎儿心脏憩室和室壁瘤各2胎报告及文献复习[J].中国医学影像技术,2013,29(9):1534~1539 |
| 超声检测胎儿心脏憩室和室壁瘤各2胎报告及文献复习 |
| Ultrasonic diagnosis of fatal cardiac diverticulum and ventricular aneurysm: Four cases report and literature review |
| 投稿时间：2013-01-22 修订日期：2013-07-09 |
| DOI： |
| 中文关键词: 心脏憩室 心脏室壁瘤 胎儿 超声检查,产前 |
| 英文关键词:Cardiac diverticulum Heart aneurysm Fetus Ultrasonography, prenatal |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨二维超声联合四维超声时空关联成像(STIC)诊断胎儿心脏憩室(CD)和室壁瘤(VA)的价值。方法 采用二维超声联合四维STIC诊断2胎CD和2胎VA。检索Medline数据库,获取自1990年以来所有产前诊断CD和VA的相关文献,分析鉴别诊断胎儿CD和VA的要点、二者自然转归及宫内干预治疗疗效。结果 二维超声联合四维超声STIC可鉴别CD和VA;心包积液及宫内心包穿刺术对CD的自然转归无显著影响(P均>0.05);CD和VA的自然转归差异无统计学意义(P>0.05)。结论 二维超声联合四维超声STIC是产前诊断CD和VA的首选方法,CD和VA的自然转归无明显差异,宫内干预治疗对CD胎儿的自然转归无显著影响。 |
| 英文摘要: |
| Objective To explore the value of 2D-ultrasound combined with 4D-ultrasound spatio-temporal image correlation (STIC) in diagnosis of congenital cardiac diverticula (CD) and ventricular aneurysms (VA). Methods Two fetuses with CD and 2 with VA were diagnosed using 2D-ultrsound combined with 4D-ultrasound STIC. Literature related to prenatal diagnosis of fetal CD and VA in Medline since 1990 were reviewed. Differential diagnosis, nature history and intrauterine treatment effect of fetal CD and VA were analyzed. Results Prenatal 2D-ultrasound combined with 4D-ultrasound STIC could differentiate CD and VA. There was no significant difference of natural outcome between fetal CD and VA (P>0.05). Pericardial effusion and intrauterine pericardiocentesis had no significant impact on the natural outcome of CD fet us (both P>0.05). Conclusion 2D-ultrasound combined with 4D-ultrasound STIC is a preferred method for diagnosing fetal CD and VA. There is no difference of natural outcome between fetal CD and VA, while intrauterine treatment has no obvious impact on fetal CD. |
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