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目的探讨产前超声检查诊断胎儿心脏肿瘤的临床价值。方法对121150例孕妇行产前超声检查,在常规胎儿超声检查、系统胎儿超声检查的基础上,进行针对性胎儿心脏超声检查(即胎儿超声心动图)。结果检出7例胎儿心脏肿瘤,其中6例引产或出生后经尸检病理检查证实,1例继续妊娠者经孕期和出生后心脏超声复查证实。肿瘤呈实质性结节状增强回声,5例多发,2例单发;位于心室壁及室间隔的各个部位,直径0.21×0.34-2.2×1.7cm,形态规则,边界清晰,内部回声均匀,基底宽,无蒂,向心腔内或心包方向突起,未见明显彩色血流信号,形态不随心脏收缩舒张发生改变。结论产前超声检查在胎儿心脏肿瘤的产前诊断中具有重要价值。
Objective To investigate the clinical value of prenatal ultrasound in the diagnosis of fetal cardiac tumors. Methods Twelve hundred and seventy-five pregnant women underwent prenatal echocardiography. On the basis of routine fetal ultrasound examination and systematic fetal ultrasound examination, targeted fetal echocardiography (fetal echocardiography) was performed. Results Seven cases of fetal heart tumors were detected, of which 6 were confirmed by post-mortem or postnatal pathological examination and one case of continued pregnancy confirmed by ultrasound during pregnancy and after birth. The tumor showed substantial nodular echogenicity, with 5 cases of multiple attacks and 2 cases of single encephalopathy. The tumors located in the ventricular wall and the interventricular septum with a diameter of 0.21 × 0.34-2.2 × 1.7cm with regular morphology, clear boundary, uniform internal echo, Wide, no pedicle, protruding to the direction of the heart cavity or pericardium, no significant color flow signal, the shape does not change with the contraction of the heart to relax. Conclusion Prenatal ultrasound has important value in prenatal diagnosis of fetal cardiac tumors.