| 陆晓燕,李卫萍,熊文峰,蒋栋,王辉.膜周部室间隔缺损合并三尖瓣关闭不全的超声诊断分析和封堵术效果观察[J].中国医学影像技术,2008,24(s1):101~103 |
| 膜周部室间隔缺损合并三尖瓣关闭不全的超声诊断分析和封堵术效果观察 |
| Role of echocardiography in diagnosis of perimembranous VSD companied with tricuspid valve insufficiency occlusion by transcatheter |
| 投稿时间：2008-03-03 修订日期：2008-07-22 |
| DOI： |
| 中文关键词: 超声心动描记术 室间隔缺损 封堵术 三尖瓣关闭不全 |
| 英文关键词:Echocardiography Heart septal defects, ventricular Transcatheter Tricuspid valve insufficiency |
| 基金项目: |
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| 中文摘要: |
| 目的 利用超声心动图二维和三维图像诊断先天性膜周部室间隔缺损(VSD)合并三尖瓣关闭不全(TI),并总结分析经导管封堵术的效果。 方法 选择已进行VSD封堵术的患者37例,入选条件是术前有明显的三尖瓣关闭不全(TI)。诊断依据:彩色多普勒显示三尖瓣上收缩期高速由右室向右房的逆行血流(TR),运用Simpson法测量TR的容积。疗效评估:比较术前、术后TR容积的变化。 结果 超声二维和三维图像可清晰显示VSD;37例行封堵术的患者均存在三尖瓣瓣膜或腱索与VSD边缘粘 |
| 英文摘要: |
| Objective To evaluate real-time two and three-dimensional (3D) echocardiography in diagnosis of perimembranous ventricular septal defect (VSD) companied with tricuspid valve insufficient (TI) treatment by transcatheter. Methods Thirty-seven patients have undergone the operation of transcatheter closure VSD companied with TI. The tricuspid reguigitation (TR) is confirmed by color echocardiography display showing a systolic flow through the atrioventricular orifice at a high velocity. TR were measured before and after transcatheter operation respectively. Results Two and three-dimensional echocardiographic images can show VSD companied with TI. The devices were successfully deployed in 37 patients TI, which was the result of the TV adherence to the VSD, the TI was improved immediately after occlusion in all patients, tricuspid valve regurgitation decreased from (4.56±1.5)ml to (1.77±0.86)ml, P<0.05. Conclusion The two and three-dimensional echocardiography can provide more information to ensure VSD diagnosed accurately, occlusion successfully and the better prognostic efficacy. |
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