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胎儿腹腔内脐静脉静脉曲张:病例系列及文献综述

Fetal intra abdominal umbilical vein varix: Case series and review of literature.

作者信息

Lallar Meenakshi, Phadke Shubha R

机构信息

Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

Indian J Radiol Imaging. 2017 Jan-Mar;27(1):59-61. doi: 10.4103/0971-3026.202964.

DOI:10.4103/0971-3026.202964
PMID:28515587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5385777/
Abstract

Fetal intraabdominal umbilical vein varix (FIUV) is focal dilatation of the intrabdominalumbilical vein of thefetus. It appears as a round or fusiform cystic structure in thefetal abdomen, which shows continuity with the umbilical vein ongrayscale andcolor Dopplerimaging. The diagnostic criteria include the FIUV varix diameter at least 50% wider than the diameter of the intrahepatic umbilical veinand an intraabdominal umbilical vein diameter exceeding 9 mm orgreater than twostandard deviations above the mean for gestational age. We report three cases, two cases with isolated FIUV and favorable outcome and the third case with FIUV and atrioventricular septal defect, where trisomy 21 (Down syndrome) was diagnosed.

摘要

胎儿腹腔内脐静脉瘤样扩张(FIUV)是胎儿腹腔内脐静脉的局限性扩张。它在胎儿腹部表现为圆形或梭形囊性结构,在灰阶和彩色多普勒成像上与脐静脉相连。诊断标准包括FIUV瘤样扩张的直径至少比肝内脐静脉直径宽50%,且腹腔内脐静脉直径超过9mm或比胎龄平均直径高出两个标准差以上。我们报告3例病例,2例为孤立性FIUV且预后良好,第3例为FIUV合并房室间隔缺损,诊断为21三体综合征(唐氏综合征)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed9/5385777/cef0030c4ee0/IJRI-27-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed9/5385777/cef0030c4ee0/IJRI-27-59-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bed9/5385777/cef0030c4ee0/IJRI-27-59-g002.jpg

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引用本文的文献

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J Clin Med. 2025 Jan 11;14(2):441. doi: 10.3390/jcm14020441.
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Considering the Effects and Maternofoetal Implications of Vascular Disorders and the Umbilical Cord.考虑血管疾病和脐带对母婴的影响及意义。
Medicina (Kaunas). 2022 Nov 29;58(12):1754. doi: 10.3390/medicina58121754.
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Extra-abdominal umbilical vein varix in a newborn.新生儿腹外脐静脉静脉曲张

本文引用的文献

1
Clinical characteristics and outcomes of antenatal fetal intra-abdominal umbilical vein varix detection.产前胎儿腹腔内脐静脉瘤样扩张的临床特征与结局
Obstet Gynecol Sci. 2014 May;57(3):181-6. doi: 10.5468/ogs.2014.57.3.181. Epub 2014 May 15.
2
Pregnancy outcome after ultrasound diagnosis of fetal intra-abdominal umbilical vein varix.超声诊断胎儿腹腔内脐静脉静脉瘤后的妊娠结局。
Ultrasound Obstet Gynecol. 2009 Mar;33(3):282-6. doi: 10.1002/uog.6233.
3
Fetal intra-abdominal umbilical vein varix: what is the clinical significance?
BMJ Case Rep. 2019 May 6;12(5):e227424. doi: 10.1136/bcr-2018-227424.
胎儿腹腔内脐静脉静脉曲张:临床意义是什么?
Ultrasound Obstet Gynecol. 2005 Feb;25(2):149-54. doi: 10.1002/uog.1815.
4
Outcome of pregnancy after prenatal diagnosis of umbilical vein varix.产前诊断脐静脉静脉曲张后的妊娠结局
J Ultrasound Med. 2001 Feb;20(2):135-9. doi: 10.7863/jum.2001.20.2.135.
5
Varix of the fetal intra-abdominal umbilical vein: prenatal sonographic diagnosis and suggested in utero management.胎儿腹内段脐静脉静脉曲张:产前超声诊断及宫内处理建议
Ultrasound Obstet Gynecol. 2000 Oct;16(5):476-8. doi: 10.1046/j.1469-0705.2000.00283.x.
6
Sonographic measurements of the umbilical cord and vessels during normal pregnancies.正常孕期脐带及血管的超声测量
J Ultrasound Med. 1994 Jan;13(1):11-4. doi: 10.7863/jum.1994.13.1.11.
7
Giant dilatation of the umbilical vein.脐静脉巨大扩张。
J Clin Ultrasound. 1985 Jun;13(5):363-5. doi: 10.1002/jcu.1870130516.
8
Varix of the fetal intra-abdominal umbilical vein: comparison with normal.胎儿腹内段脐静脉静脉曲张:与正常情况的比较
J Ultrasound Med. 1992 Feb;11(2):73-6. doi: 10.7863/jum.1992.11.2.73.