| 陈昕,杨军,石璨,张婷婷,孙丹丹,王晓冰,张静.实时三维经食管超声在二尖瓣反流Carpentier's分型中的应用[J].中国医学影像技术,2017,33(3):360~364 |
| 实时三维经食管超声在二尖瓣反流Carpentier's分型中的应用 |
| Real-time three-dimensional transesophageal echocardiography in evaluation of Carpentier's classification of mitral regurgitation |
| 投稿时间：2016-08-31 修订日期：2016-12-16 |
| DOI：10.13929/j.1003-3289.201608141 |
| 中文关键词: 超声心动描记术,经食管 二尖瓣 反流 |
| 英文关键词:Echocardiography, transesophageal Mitral valve Regurgitation |
| 基金项目:沈阳市科技计划项目基金（F15-199-1-32）。 |
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| 中文摘要: |
| 目的 探讨实时三维经食管超声（RT3D TEE）在二尖瓣反流（MR）Carpentier's分型中的应用价值。方法 RT3D TEE检查中度及以上MR患者共124例，按照Carpentier's分型分为Ⅰ~Ⅲ型，并随访手术例数和术式。结果 124例患者中Carpentier's Ⅰ型9例，其中心房颤动8例，二尖瓣裂1例；Ⅱ型102例，其中单纯二尖瓣脱垂16例，二尖瓣腱索断裂伴脱垂80例，感染性心内膜炎6例；Ⅲ型13例，Ⅲa型风湿心脏病8例，Ⅲb型左心收缩功能减低5例。MR患者接受手术治疗101例，其中二尖瓣成形术83例，瓣膜置换18例。结论 RT3D TEE可对不同类型MR进行精确评价，并对易混淆病变起鉴别作用，可为临床治疗提供客观依据。 |
| 英文摘要: |
| Objective To evaluate the feasibility of real-time three-dimensional transesophageal echocardiography (RT3D TEE) in Carpentier's classification of patients with mitral regurgitation (MR). Methods Totally 124 patients with MR were divided into type I-Ⅲ type according to Carpentier's classification, and the cases and methods of operation were followed up. Results In all of the 124 patients, 9 cases were Carpentier's type Ⅰ, including 8 cases of atrial fibrillation, 1 case of mitral valve cleft; 102 patients were type Ⅱ, including pure mitral valve prolapse in 16 cases, mitral valve prolapse with chordae rupture in 80 cases, infective endocarditis in 6 cases; 13 cases were type Ⅲ, including Ⅲa type rheumatic heart disease in 8 cases, Ⅲb type of left ventricular systolic dysfunction in 5 cases. Totally 101 cases underwent MR surgery, including mitral valve plasty in 83 cases and valve replacement in 18 cases. Conclusion RT3D TEE is feasible and accurate in defining different types of MR, and it is useful to make management decisions and select the appropriate surgical strategy. |
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