胎儿水肿综合征的超声诊断和病因观察

Ultrasonographic Diagnosis and Etiology of Fetal Hydrops Syndrome

目的探索胎儿水肿综合征的超声诊断和病因观察。方法选择2014年9月—2016年9月收治的70例水肿综合征患儿为此次研究对象,对患儿发病因素以及超声诊断结果进行回顾性分析。结果在70例水肿综合征患儿中,32.86%的患儿可因重型α-地中海贫血引起,21.43%可因与母胎血型不合引起,17.14%的患儿可因染色体异常引起,少部分患儿可因心血管病变、肺部畸形、感染、先天性代谢异常、双胎输血综合征引起,而患儿超声影像特征主要表现为腹水、心包积液、胸腔积液、皮肤水肿、胎盘增厚。结论胎儿水肿综合征主要病因为重型α-地中海贫血,而主要超声诊断特征为腹水、心包积液。

Objective To explore the ultrasonic diagnosis and etiological factors of fetal hydrops syndrome.Methods 70 cases of children with edema syndrome were selected as the research object from September 2014 to September 2016.Results In 70 cases of children with edema syndrome,32.86% of the patients can be caused by alpha thalassemia,21.43% can cause with maternal-fetal blood type,the 17.14% of children can be caused by abnormal chromosome,a few children can be caused by cardiovascular disease,pulmonary infection,congenital malformation,abnormal metabolism,twin transfusion comprehensive the syndrome characteristics of children with ultrasound mainly for ascites,pleural effusion,pericardial effusion,skin edema,thickening of the placenta.Conclusion The main cause of fetal hydrops syndrome is severe alpha thalassemia,main ultrasound diagnostic characteristics of ascites,pericardial effusion.