产前超声诊断肝内门体静脉分流1例
Journal of Clinical Ultrasound in Medicine（2019）
Abstract
孕妇,35岁,孕6产1,平素月经欠规律,有多次自然流产史,病因未明.孕早期无阴道流血、下腹痛、感冒、发热、放射线及化学毒物接触等病史.未行唐氏筛查,地中海贫血基因检查无异常.孕21周超声提示胎儿部分肠管回声增强,单脐动脉,行脐血流穿刺提示胎儿染色体型无异常.孕26周因超声提示胎儿体质量偏小,予皮下注射肝素1个月.孕31周超声检查:胎儿双顶径74 mm,头围269 mm,腹围232mm,股骨长53 mm,肱骨长48 mm.门静脉矢状部向右发出两分支,分别与肝中静脉相连,门静脉左支与右支相连处变细,宽约1.5 mm,静脉导管增粗,内径约4.0 mm.肝动脉血管增粗,以肝左叶较明显.
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