[1]李哲,张晓航,李锐,等.30例双胎输血综合征声像图特征的回顾性分析[J].陆军军医大学学报(原第三军医大学学报),2012,34(02):122-125.
 Li Zhe,Zhang Xiaohang,Li Rui,et al.Prenatal ultrasonographic features of twin-to-twin transfusion syndrome: a retrospective analysis of 30 cases[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(02):122-125.
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30例双胎输血综合征声像图特征的回顾性分析(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第02期
页码:
122-125
栏目:
论著
出版日期:
2012-01-30

文章信息/Info

Title:
Prenatal ultrasonographic features of twin-to-twin transfusion syndrome: a retrospective analysis of 30 cases
作者:
李哲张晓航李锐华兴钟华薛雅方郭燕丽陈朝晖唐春霖
第三军医大学西南医院超声科;解放军第546医院超声科
Author(s):
Li Zhe Zhang Xiaohang Li Rui Hua Xing Zhong Hua Xue Yafang Guo Yanli Chen Zhaohui Tang Chunlin
Department of  Ultrasonography, Southwest Hospital, Third Military Medical University, Chongqing, 400038; Department of Ultrasonography, No. 546 Hospital of PLA, Xinjiang Uygur Autonomous Region, 841700, China
关键词:
超声表现双胎输血综合征胎儿镜
Keywords:
ultrasonographic manifestation twin-to-twin transfusion syndrome fetoscopy
分类号:
R445.1;R714.53
文献标志码:
A
摘要:
目的      探讨产前超声检查对双胎输血综合征的预测、诊断及价值。      方法      对2006年8月至2011年3月在本科确诊,并有最终随访结果的30例双胎输血综合征孕妇的60个胎儿的超声表现进行回顾性分析。      结果      30例孕妇中共60个胎儿,17例孕妇的胎儿S/D增高,而且受血儿较供血儿增高明显;14例孕妇的受血儿心脏增大,1例孕妇供血儿心脏增大;8例孕妇的供血儿为贴壁儿;20例孕妇接受胎儿镜治疗,15例较治疗前有明显好转;脐带帆状入口和边缘入口的胎儿经治疗后存活率低。      结论      产前超声对双胎输血的及时诊断、治疗和提高胎儿生存率具有明显的临床价值。
Abstract:
Objective      To identify the clinical value of prenatal ultrasonography to predict and diagnose twin-to-twin transfusion syndrome.       Methods      The ultrasonographic data of 30 pregnant women of twin-to-twin transfusion syndrome including 60 fetuses who were diagnosed and followed up in our hospital from Aug. 2006 to Mar. 2011 were retrospectively analyzed.       Results      Among the 30 women with 60 fetuses, the S/D value of 17 pregnant women’s fetuses was increased, particularly in the recipient fetus. The 14 cases of recipient fetuses had enlarged heart, but the heart of one donor fetus showed same symptom. There were 8 donors attached to chorionic membrane. Among the 20 cases underwent fetoscopic treatment, 15 cases had significantly changes. The fetus having fan-shaped and edge umbilical cord inlet had lower survival rate.       Conclusion      Prenatal ultrasonic examination is helpful to the immediate diagnosis and treatment of twin-to-twin transfusion syndrome, and has a positive effect to improve fetuses’ survival.

相似文献/References:

[1]李俊男,梁志清,陈功立,等.胎儿镜下胎盘血管交通支凝固术治疗双胎输血综合征6例临床分析[J].陆军军医大学学报(原第三军医大学学报),2009,31(22):2281.
 LI Jun-nan,LIANG Zhi-qing,CHEN Gong-li,et al.Retrospective analysis of fetoscopic photocoagulation of communicating placental vessels of twin-twin transfusion syndrome[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(02):2281.
[2]李霞,陈东风.B超对慢性肝病患者非肝性腹水的诊断价值[J].陆军军医大学学报(原第三军医大学学报),2003,25(17):0.[doi:10.16016/j.1000-5404.2003.17.029 ]

更新日期/Last Update: 2012-01-13