| 夏红梅,高云华,钱频,杨成业,杨红骏.先天性主动脉缩窄的超声诊断价值[J].中国医学影像技术,2006,22(3):363~365 |
| 先天性主动脉缩窄的超声诊断价值 |
| Value of echocardiography in diagnosis of coarctation of aorta |
| 投稿时间：2005-08-26 修订日期：2006-01-07 |
| DOI： |
| 中文关键词: 主动脉缩窄 超声心动描记术 |
| 英文关键词:Coarctation of aorta Echocardiography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨二维及彩色多普勒超声心动图对先天性主动脉缩窄(CoA)的诊断价值。方法 回顾性分析35例CoA患者的二维及多普勒超声表现,并与手术结果作对照。结果 35例患者均经手术证实为CoA,其中超声检出31例,1例被误诊为主动脉弓离断,3例漏诊;3例为单发CoA,32例均合并有室间隔缺损(VSD,18例)或动脉导管未闭(PDA,19例)或二者兼存或其他畸形;11例伴有肺动脉高压;1例伴有感染性心内膜炎。结论 超声心动图检查是诊断CoA及其他合并畸形的有效方法,具有无创、快速、准确性较高的优点,可作为首选方法;胸骨上窝声窗的常规检查有助于避免漏诊。 |
| 英文摘要: |
| Objective To evaluate the diagnostic value of echocardiography in coarctation of the aorta (CoA). Methods The ultrasonic findings and clinic data in 35 cases were analyzed. Results Thirty-five cases of CoA were confirmed with surgeries. 31 were preoperatively discovered by echocardiography, while one misdiagnosed as interrupted aortic arch (IAA) and 3 missed diagnosis. The CoA cases presented local coarctation at aorta arch, isthmus or descending aorta, accompanying teratisms such as VSD (18 cases), PDA (19 cases), and other complication such as pulmonary hypertension (11 cases) and infective endocarditis (1 case) and so on. Conclusion Echocardiography is a reliable technique for diagnosing CoA and complications. Routine examination through suprasternal approach to assess the aortic arch is helpful for avoiding diagnostic error. |
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