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Study on Fetal Superior Mesenteric Artery in Early Pregnancy by Color Doppler Low Speed HD-Flow |
Huiduan Mo, Hui Wang |
Department of Ultrasound, Zhaoqing Gaoyao People's Hospital, Zhaoqing Guangdong 526040,China |
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Abstract Objective To study the course of a superior mesenteric artery (SMA) and the angle between SMA and abdominal aorta in early pregnancy, and to explore its significance in early diagnosis of fetal abdominal structural abnormalities. Methods 50 cases of pregnant women with NT color Doppler ultrasound in our hospital and confirmed by delivery or induced labor were selected. The fetal morphology and the course of the fetal superior mesenteric artery were observed, and the angle between the superior mesenteric artery and the abdominal aorta was measured. Results 45 cases of the normal fetus and 5 cases of the abnormal abdomen were confirmed in pregnant women (1 case was missed in early pregnancy). The abnormal course of superior mesenteric artery was found in 4 cases, and the angle between the superior mesenteric artery and the abdominal aorta was abnormal in 4 cases. Conclusion The abnormal course of a superior mesenteric artery or abnormal angle between superior mesenteric artery and abdominal aorta in early pregnancy can be found by using color Doppler low-speed HD-Flow examination, which has definite significance for early diagnosis of fetal abdominal abnormalities such as abdominal fissure, omphalocele, diaphragmatic hernia,and abdominal mass.
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Corresponding Authors:
Huiduan Mo, Department of Ultrasound, Zhaoqing Gaoyao People's Hospital, Zhaoqing Guangdong 526040,China. E-mail address: 656705873@qq.com
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[1] LIU Min,DING Xiaojun,YANG Jie,et al.Observation and application of ultrasound on superior mesenteric artery upwarping sign in early pregnancy [J].Contemporary Medicine,2019,25(30):73-75. [2] WEI Zening,DEN Jianquan,3D reconstruction of fetal mesenteric vascular cast specimens based on CT mimics [J].Anatomical Research,2019,41(4):290-294. [3] TANG Xianpeng,TAO Ruoling,ZHANG Xinghao,et al.Evaluation of fetal superior mesenteric artery and vein by three-dimensional power Doppler ultrasound [J].Journal of Zhejiang University(Medical Edition),2019,48(4):453-458. [4] YANG Xin,LI Caiqi,SU Xiaowei,et al.Clinical value of superior mesenteric artery in predicting congenital diaphragmatic hernia in early pregnancy [J].Chinese Journal of Perinatal Medicine,2019(8):587-590. [5] LI Xiaoqin,LI Mingming,DENG Yanlei. Prenatal ultrasound diagnosis of fetal intestinal volvulus:a case report [J].Journal of Clinical Ultrasound Medicine,2018,20(8):517+521. [6] PU Yunkai,LUO Yuefan,HU Yuming. The value of superior mesenteric artery and vein CTA in the diagnosis of intestinal volvulus [J].Journal of Rare Diseases,2020,27(4):80-82,92. [7] SHEN Qi,ZHANG Xinshu,WU Mengqi,et al.The value of high frequency color Doppler ultrasound in the diagnosis of intestinal malrotation in children [J].Anhui Medical Journal,2010,14(2):174-176. [8] ZUO Wei,GE Dahai,LIU Xiang,et al.Comparative study of laparoscopic and open surgery in the treatment of congenital intestinal malrotation [J].Journal of Anhui Medical University,2020,55(3):167-170. [9] LIU Xingtong. To explore the diagnostic value of multi-slice spiral CT(MSCT) in nutcracker syndrome(NCS) [J].Chinese and Western Medicine Journal of Cardiovascular Disease,2019,7(31):77-78. [10] GUO Xijuan,CHEN Guihong,WANG Kun,et al.Ultrasonic manifestations of fetal intestinal malrotation combined with duodenal torsion [J].Chinese Journal of Ultrasound Imaging,2018,27(3):270-271. [11] HE Yihua,LIU Kun,LIU Lin,et al.Feasibility of time-space correlation imaging combined with high-resolution blood flow imaging in the overall display of fetal arteriovenous circulation [J].Chinese Medical Imaging Technology,2011,27(9):1887-1890. [12] LI Wei. Comparative study of ultrasound and CT in the diagnosis of congenital intestinal malrotation [J].Journal of Practical Medical Imaging,2018,19(2):154-155. [13] LU Xiaohang,LI Qiu,ZHANG Gaofu. Clinical characteristics of nutcracker syndrome in children of different ages [J].Chinese Journal of Clinical Pediatrics,2019,34(8):599-603. [14] LIU Huiming,CHEN Zhong. Analysis of four cases of congenital intestinal malrotation [J].Journal of Anatomy,2008,31(3):446-448. [15] PANG Huanping. Application value of color Doppler ultrasound in diagnosis of congenital intestinal malrotation in children [D].Taishan Medical College,2013:1-41. [16] WANG Xianming,XIAO Qing,HUA Xianping,et al.The value of color Doppler flow parameters in the evaluation of severe superior mesenteric artery stenosis [J].Chinese Journal of Evidence Based Cardiovascular Medicine,2018,10(9):1091-1094. [17] ZHANG Xiaodong,LIN Jinrong,ZHANG Zuobing,et al.Advances in imaging diagnosis of nutcracker syndrome [J].Chinese Medical Imaging Technology,2019,35(6):942-945. [18] LI Yanli,ZHU Xiaoxu,LIU Ying. Application value of high frequency color Doppler ultrasound in the diagnosis of infantile intussusception [J].Journal of Practical Clinical Medicine,2018,22(5):101-103,107. [19] ZHANG Lei,ZHU Junming,LI Liang,et al.Clinical value of ultra-fine flow imaging in the evaluation of branch artery involvement in patients with abdominal aortic dissection [J].Chinese Journal of Ultrasound Imaging,2019,28(6):474-479. [20] HUA Xianping,WANG Xianming,XIAO Qing,et al.Effects of respiration on peak systolic blood flow velocity of superior mesenteric artery [J].Chinese Journal of Evidence Based Cardiovascular Medicine,2019,11(11):1330-1332. [21] HUO Yaling,LIU Yang,WANG Dan,et al.Diagnostic value of high frequency ultrasound in children with congenital duodenal obstruction [J].Chinese Journal of Clinical Medical Imaging,2019,30(12):897-899. [22] LI Jinyan. Ultrasound diagnostic value of superior mesenteric artery syndrome [J].Chinese Journal of Metallurgical Industry Medicine,2018,35(6):741. [23] WANG Xianming,XIAO Qing,HUA Xianping,et al.The value of color Doppler flow parameters in the evaluation of severe superior mesenteric artery stenosis [J].Chinese Journal of Evidence Based Cardiovascular Medicine,2018,10(9):1091-1094. [24] LIU Qiang,HAN Shixing,CHEN Junze,et al.Laparoscopic surgery for superior mesenteric artery compression syndrome in children:a report of 22 cases [J].Chinese Journal of Pediatric Surgery,2019,40(7):626-630. |
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