彩色多普勒超声诊断双胎反向动脉灌注序列征

Color doppler blood flow imaging in twin reversed arterial perfusion sequence

目的探讨彩色多普勒超声诊断双胎反向动脉灌注序列征的价值。方法对5例双胎反向动脉灌注序列征的产前彩色多普勒超声检查结果进行回顾性分析,并与产后结果对照,总结声像图表现及诊断要点。结果 5例于产前彩色多普勒超声检查中发现并于产后证实为双胎反向动脉灌注序列征;5例均为单绒毛膜双胎,其中3例为单羊膜囊,2例为双羊膜囊;5例均为无脑、无心畸胎。结论彩色多普勒超声检查可以准确并及早诊断双胎反向动脉灌注序列征,有助于指导临床实现优生优育。

Objective To detect the diagnostic value of color doppler blood flow imaging in twin reversed arterial perfusion sequenee. Methods Review and analysis of 5 eases of twin reversed arterial perfusion sequence were examined hy color Doppler, and compared with the results of the clinleal diagnosis after delivery. The main points of diagnosis were summarized. Results The twin reversed arterial perfusion se- quence was observed in prenatal examination and demonstrated in postpartum through prenatal uhrasonic inspection system of 5 inspection ob- jects. All 5 eases were confirmed to monoehorionie twin. Among them 3 eases were monoamnionic twin and 2 eases were diamnionie twin. All 5 eases were anencephalia and aeardia. Conclusion Color doppler imaging can provide accurate diagnoses with twin reversed arterial perfusion sequence timely, and will offer available instructions on clinical therapy to achieve prenatal and postnatal care.