| 张玉奇,叶宝英,陈树宝,孙锟,徐志伟,陈笋,张志芳,沈蓉,吴兰平.完全性大动脉转位合并冠状动脉异常的超声心动图诊断[J].中国医学影像技术,2006,22(2):238~240 |
| 完全性大动脉转位合并冠状动脉异常的超声心动图诊断 |
| Echocardiographic diagnosis of anomalous coronary arteriesin complete transposition of great arteries |
| 投稿时间：2005-08-15 修订日期：2005-11-22 |
| DOI： |
| 中文关键词: 超声心动描记术 大血管错位 冠状血管畸形 |
| 英文关键词:Echocardiography Transposition of great vessels Coronary vessel anomalies |
| 基金项目: |
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| 中文摘要: |
| 目的 评价多普勒超声心动图诊断完全性大动脉转位(D-TGA) 冠状动脉解剖类型的准确性,提高超声心动图的首次检出率。方法 经外科手术证实为D-TGA 的118 例患者为研究对象,回顾性分析其超声心动图表现。结果 118例患者中,正常冠状动脉104 例(88. 1 %) ,异常冠状动脉14 例(11. 9 %) 。回旋支发自右冠状动脉、单支右冠状动脉、右冠状窦内两支冠状动脉比较多见。超声诊断正确者6 例,占42. 8 %;误诊4 例,占28. 6 %;不能显示4 例,占28. 6 %。心血管造影明确冠状动脉畸形后,两个医生进行超声检查,正确率可提高至71. 4 %。结论 超声心动图可以比较准确地诊断D-TGA 患者的冠状动脉异常,主动脉位于右侧及合并室间隔缺损者易合并冠状动脉畸形。 |
| 英文摘要: |
| Objective To evaluate the accuracy of the diagnosis of the proximal coronary artery anatomy in complete t rans-position of great arteries (D-TGA) by echocardiography , and to improve the initial echocardiographic diagnosis. Methods We ret rospectively reviewed echocardiographic diagnosis of 118 children with D-TGA having undergone surgery. Results Of118 children with D-TGA , 104 cases (88. 1 %) were typical coronary arteries , 14 cases (11. 9 %) were anomalous coronaryarteries. Lef t circumflex originated from the right coronary artery , single right coronary , and two separate coronariesoriginated f rom the right coronary sinus were the main variations. The coronary artery anatomy was correctly predicted in 6cases (42. 8 %) , In the 8 remaining patient s , coronary artery anatomy was misdiagnosed in 4 cases (28. 6 %) , visualization ofthe coronary arteries was not enough to allow determination of their anatomy in 4 cases (28. 6 %) . Two cardiologist s per-formed echocardiogram individually af ter coronary angiography , the accuracy of the consensus diagnosis improved (71. 4 %) . Conclusion Anomalous coronary artery pat tern in D-TGA could be accurately diagnosed by echocardiography. |
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