上海交通大学学报（医学版）

上海交通大学学报（医学版）

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单纯单脐动脉转诊胎儿超声心动图的研究进展

王鉴，孙锟   

  1. 上海交通大学 医学院附属新华医院小儿心血管科， 上海200092
  • 出版日期:2015-07-28 发布日期:2015-08-27
  • 作者简介:王鉴（1988—）， 女， 博士生; 电子信箱: jxlucywang@hotmail.com。
  • 基金资助:

     国家重点基础研究发展计划（“973”计划）子项目（2010CB529501）

Research advances of isolated single umbilical artery being an indication for referring to fetal echocardiography

WANG Jian, SUN Kun   

  1. Department of Pediatric Cardiovascular Medicine, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai200092, China
  • Online:2015-07-28 Published:2015-08-27
  • Supported by:

    National Key Basic Research Program of China，“973”Program，2010CB529501

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摘要：

单脐动脉(SUA)与多种先天性畸形的发生率升高有关，特别是先天性心脏病，曾被认为是转诊胎儿超声心动图的指标。然而，不合并有心外畸形的单纯单脐动脉（iSUA）是否应该转诊胎儿超声心动图，目前仍存在争议。文章总结了SUA与先天畸形的关系，概括了近年来关于iSUA是否应转诊胎儿超声心动图的观点，分析了国内外超声心动图的转诊现状与研究进展，为iSUA是否应作为胎儿转诊超声心动图的指标提供参考。

关键词: 单纯单脐动脉, 先天性心脏病, 胎儿超声心动图, 转诊

Abstract:

Single umbilical artery (SUA) is relevant to the increasing incidence of various congenital malformations, especially the congenital heart disease, and has been regarded as an indication for referring to fetal echocardiography. However, whether isolated single umbilical artery (iSUA) without extracardiac abnormalities should be referred to fetal echocardiography is still controversial. This paper reviewed the correlation between SUA and congenital malformation, summarized recent perspectives about whether iSUA should be referred to fetal echocardiography, analyzed current status and research advances of referral of fetal echocardiography at home and abroad, and provided a reference for whether isolated iSUA should be an indication for referring to fetal echocardiography.

Key words: isolated single umbilical artery, congenital heart disease, fetal echocardiography, referral