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中华医学超声杂志(电子版) ›› 2026, Vol. 23 ›› Issue (06) : 526 -528. doi: 10.3877/cma.j.issn.1672-6448.2026.06.014

病例报告

产前诊断胎儿多发腹主动脉瘤一例
刘可萱1,2,3, 林勤1,2,3, 董江里1,2,3, 赵姜艺1,2,3, 徐赣琼1,2,3,†()   
  1. 1 410011 长沙,中南大学湘雅二医院超声诊断科
    2 410011 长沙,中南大学湘雅二医院超声影像医学研究室
    3 410011 长沙,湖南省医学影像临床医学研究中心
  • 收稿日期:2025-09-23 出版日期:2026-06-01
  • 通信作者: 徐赣琼
  • 基金资助:
    国家自然科学基金项目(81801721); 湖南省自然科学基金项目(2019JJ50880)

Prenatal diagnosis of fetal multiple aneurysmal lesions: a case report

Kexuan Liu, Qin Lin, Jiangli Dong   

  • Received:2025-09-23 Published:2026-06-01
引用本文:

刘可萱, 林勤, 董江里, 赵姜艺, 徐赣琼. 产前诊断胎儿多发腹主动脉瘤一例[J/OL]. 中华医学超声杂志(电子版), 2026, 23(06): 526-528.

Kexuan Liu, Qin Lin, Jiangli Dong. Prenatal diagnosis of fetal multiple aneurysmal lesions: a case report[J/OL]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2026, 23(06): 526-528.

图1 本例胎儿多发腹主动脉瘤产妇产前超声图像。图a为二维超声显示胎儿腹腔内可见两个上下排列的圆形囊性暗区(M1、M2),DAO为脉主动脉;图b为彩色多普勒血流成像显示M1内可见红蓝相间涡流;图c为M2侧壁可见宽约6.5 mm破口与腹主动脉相通;图d为彩色多普勒血流成像示M2破口处可见红蓝相间血流往返于囊性暗区与腹主动脉之间(白色箭头)
图2 本例胎儿真性腹主动脉瘤解剖图。M1为近心端囊性暗区;M2为远心端囊性暗区;DAO为降主动脉;RCIA为右侧髂总动脉;LCIA为左侧髂总动脉
图3 本例胎儿患者产后病理图像。图a为真性动脉瘤HE×40示外膜可见滋养血管(黑色箭头),中膜可见大量炎性细胞浸润(蓝色箭头);图b为真性动脉瘤弹性染色×400示中膜弹性纤维含量减少、变细、紊乱;图c为假性动脉瘤HE×40示全层可见炎性细胞浸润;图d为假性动脉瘤弹性染色×400示弹性纤维含量明显减少、细小、紊乱,胶原纤维增粗、紊乱
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