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Fetal Cardiac Rhabdomyoma Diagnosed by Ultrasonography and Its Relation with Tuberous Sclerosis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.1007-9408.2002.03.003
- Key Word:
- 胎儿;心脏肿瘤;横纹肌瘤;结节性硬化症;超声检查,产前
Abstract： 目的探讨超声诊断胎儿心脏横纹肌瘤的可行性及胎儿心脏横纹肌瘤与家族性结节性硬化症的关系. 方法使用高频率超声仪,以胎儿心尖四腔观为主要切面,观察胎儿心脏横纹肌瘤的发生部位,肿瘤的数目,肿瘤是否导致左、右心室流出道受阻.并对胎儿母亲做腹部超声检查. 结果在做常规产前超声检查时,发现胎儿心脏横纹肌瘤5例,均经病理结果证实,其中1例确切地与结节性硬化症相关联. 结论胎儿心脏横纹肌瘤与结节性硬化症相关联.胎儿心脏横纹肌瘤常因心衰而死亡,又因结节性硬化症的神经系统病变预后极差,因此产前超声发现胎儿心脏横纹肌瘤要考虑患有结节性硬化症的可能性,同时应对母亲进行相关检查,以了解其有无结节性硬化症,这对于降低围产期死亡率有非常重要的意义.
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