| 侯传举,李燕萍,邓东安,朱鲜阳,韩秀敏,刘剑立,胡斌,王巧玲.经胸超声心动图与经食管超声心动图对比观察成人多发房间隔缺损[J].中国医学影像技术,2010,26(3):488~491 |
| 经胸超声心动图与经食管超声心动图对比观察成人多发房间隔缺损 |
| Comparison between transthoracic and transesophageal echocardiography in diagnosing adult multiple atrial septal defect |
| 投稿时间：2009-08-19 修订日期：2009-11-12 |
| DOI： |
| 中文关键词: 心脏缺损,先天性 超声心动描记术 |
| 英文关键词:Heart defects, congenital Echocardiography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨经胸超声心动图(TTE)与经食管超声心动图(TEE)对成人多发继发孔房间隔缺损(MASD)的诊断价值。方法 成人MASD患者30例接受TTE检查,其中25例接受TEE检查,26例接受心导管检查;20例接受MASD封堵术介入治疗,18例封堵成功;4例接受体外循环下开胸修补术。结果 TTE与TEE全部诊断继发孔房间隔缺损,TTE诊断缺损数量准确率60.00%(18/30);TEE诊断缺损数量准确率96.00%(24/25)。MASD的彩色多普勒血流显像(CDFI)特征性改变是显示多束过房间隔左向右五彩镶嵌分流束血流信号,即CDFI"漏勺征"。结论 TTE对成人MASD诊断有一定难度,TEE有特异性诊断价值。开胸修补术治疗成人MASD行TTE检查即可,行封堵术介入治疗成人MASD必须行TEE检查以明确诊断缺损的数量和位置。 |
| 英文摘要: |
| Objective To explore the value of transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) in diagnosing adult multiple atrial septal defect (MASD). Methods Thirty adult patients with MASD were examined with TTE, 25 patients were examined also with TEE, 26 patients were examined with cardiac catheterization as well. Transcatheter closure of MASD was performed in 20 patients and succeeded in 18, while open-chest operation was performed in 4 patients. Results Foramen secundum atrial septal defect was diagnosed with both TTE and TEE with an accuracy rate of 60.00% (18/30) and 96.00% (24/25), respectively. The main color Doppler flow imaging (CDFI) feature of adult MASD was multiple colorful left-to-right shunt signals through the atrial septal designated, i.e. "colander sign" of CDFI. Conclusion TTE has some difficulties and TEE has specific value in diagnosing adult MASD. TTE can be used before open-chest operation. TEE is necessary before transcatheter occlusion to make sure of the amount and location of atrial septal defect. |
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