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胎儿左心发育不全综合征的超声检查与尸检相关性

Ultrasonography and autopsy correlation of fetal hypoplastic left heart syndrome.

作者信息

Kumar Manisha

机构信息

Department of Obstetrics and Gynecology, Lady Hardinge Medical College, New Delhi, India.

出版信息

J Clin Ultrasound. 2018 Sep;46(7):480-482. doi: 10.1002/jcu.22607. Epub 2018 Aug 16.

DOI:10.1002/jcu.22607
PMID:30113085
Abstract

Hypoplastic left heart syndrome (HLHS) represents a spectrum of abnormalities which marks the underdevelopment of left side cardiac structures. We present the ultrasound and autopsy correlation of two cases with HLHS with core pathology as isolated mitral atresia in one and aortic atresia in another. In both the cases after diagnostic confirmation on ultrasound (US), the couple opted for termination of pregnancy and consented for autopsy. The correlation of US and autopsy images of HLHS, facilitated our understanding of pathology behind the image obtained on US. The autopsy not only confirmed the antenatal diagnosis, but also added new findings.

摘要

左心发育不全综合征(HLHS)表现为一系列异常,标志着左侧心脏结构发育不全。我们展示了两例HLHS病例的超声与尸检相关性,其中一例的核心病理为单纯二尖瓣闭锁,另一例为主动脉闭锁。在这两例病例中,超声(US)诊断确认后,夫妇双方选择终止妊娠并同意进行尸检。HLHS的超声与尸检图像的相关性,有助于我们理解超声获得的图像背后的病理情况。尸检不仅证实了产前诊断,还发现了新的情况。

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引用本文的文献

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Diagnostic accuracy of perinatal post-mortem ultrasound (PMUS): a systematic review.围产期尸体解剖超声检查(PMUS)的诊断准确性:一项系统评价。
BMJ Paediatr Open. 2019 Nov 11;3(1):e000566. doi: 10.1136/bmjpo-2019-000566. eCollection 2019.