摘要
目的:探讨产前超声诊断一般孕妇人群中胎儿持续性左上腔静脉(PLSVC)的临床意义。方法:回顾性分析2011年1月至2015年7月在上海交通大学附属第六人民医院产前检查并分娩或终止妊娠的连续性孕妇资料15241例。结果:PLSVC胎儿43例,发生率0.28%,均为双上腔静脉。单纯型PLSVC占67.44%(29/43),非单纯型PLSVC(合并除PLSVC外的畸形)占32.56%(14/43)。14例非单纯型PLSVC中,4例仅合并心脏畸形,1例仅合并心外畸形,9例同时合并心脏及心外畸形。单纯型PLSVC 96.55%(28/29)妊娠结局良好,而非单纯型64.29%(9/14)妊娠结局不良(P<0.05)。结论:在一般孕妇人群PLSVC有一定的发生率,约1/3合并心内外畸形。非单纯型PLSVC胎儿的预后明显差于单纯型胎儿。产前超声诊断PLSVC是发现更多胎儿畸形和警示胎儿发育不良的重要线索。
Objective：To investigate the incidence of persistent left superior vena cava（PLSVC） of fetuses and the value of prenatal sonographic detection in PLSVC in population. Methods： Retrospectively analysis the data of 15241 consecutive cases with prenatal ultrasonic examination and delivery or pregnancy terminated women in the sixth people ＇s hospital affiliated to Shanghai jiaotong university from January 2011 to July 2015. Results：There were 43 cases of PLSVC fetus,the incidence of PLSVC was 0. 28% and all cases are bilateral superior vena cava （DSVC）. Among the 43 cases of PLSVC：29（67. 44%） were isolated and 14（32. 56% ） were non-isolated（as- sociated with other anomalies）. Among the 14 cases associated with other anomalies,4 （4/14 = 28.57% ） cases were only cardiac anomalies, 1 （ 1/14 = 7. 14% ） case was extracardiac anomalies, 9 （9/14 = 64.28% ） cases were both cardiac and extracardiac anomalies. 28 （96.55%） cases of isolated PLSVC were in good pregnancy outcomes,9（64.29%） cases of non-isolated PLSVC in adverse pregnancy outcome. Conclusions, The inci- dence of PLSVC fetus among popular pregnant women is,to a certain extent,that about one-third of it has heart inside and/or outside deformity. Obviously the prognosis of fetus with non-isolated PLSVC was worse than isola- ted PLSVC. So the prenatal sonographic detection of PLSVC is an important clue for finding more fetal deformity and warning fetal dysplasia.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2016年第5期388-391,共4页
Journal of Practical Obstetrics and Gynecology
基金
上海市2012年卫计委面上项目(编号:20124204)
关键词
持续性左上腔静脉
产前超声诊断
胎儿畸形
Persistent left superior vena cava
Prenatal sonographic detection
Fetus anomaly
