李叶丹,任卫东,马春燕,刘爽,肖杨杰.实时三维超声心动图诊断二叶主动脉瓣畸形[J].中国医学影像技术,2011,27(1):66~68
实时三维超声心动图诊断二叶主动脉瓣畸形
Real-time three-dimensional echocardiography in diagnosis of bicuspid aortic valve deformity
投稿时间:2010-05-24  修订日期:2010-07-02
DOI:
中文关键词:  超声心动描记术,三维  主动脉瓣  心血管畸形
英文关键词:Echocardiography, three-dimensional  Aortic valve  Cardiovascular abnormalities
基金项目:辽宁省自然科学基金(20082106)。
作者单位E-mail
李叶丹 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
任卫东 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004 renweidong01@yahoo.com.cn 
马春燕 中国医科大学附属第一医院心功能科,辽宁 沈阳 110001  
刘爽 中国医科大学附属第一医院心功能科,辽宁 沈阳 110001  
肖杨杰 中国医科大学附属盛京医院超声科,辽宁 沈阳 110004  
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中文摘要:
       目的 探讨实时三维超声心动图(RT-3DE)评价二叶主动脉瓣(BAV)畸形的应用价值。 方法 应用经胸二维超声心动图(2DE)和RT-3DE对41例BAV患者进行诊断,并与手术结果对照。 结果 经RT-3DE检查的41例患者与手术结果一致,其中横裂式25例、纵裂式10例、斜裂式6例;经2DE检查的30例患者与手术结果一致。2例患者2DE观察不清晰的赘生物,RT-3DE显示为附着于主动脉瓣叶心室面的赘生物。 结论 RT-3DE能够快速、直观、准确显示瓣膜结构,在BAV的诊断中可获得较2DE更丰富的空间信息,具有重要应用价值。
英文摘要:
      Objective To observe the value of real-time three-dimensional echocardiography (RT-3DE) in diagnosis of congenital bicuspid aortic valve (BAV) deformity. Methods Totally 41 patients with BAV underwent two-dimensional echocardiography (2DE) and RT-3DE, and the results were compared with those of surgical operations. Results BAV deformities were diagnosed with RT-3DE in all patients and were consistent with the findings of operation, including horizontal type in 25 patients, longitudinal type in 10 patients, oblique type in 6 patients, while 30 patients diagnosed with 2DE. Excrescences in 2 patients found with 2DE were proved to be vague vegetation attached to the surface of aortic valve toward the ventricular with RT-3DE. Conclusion RT-3DE can promptly, intuitively and accurately depict the structure of aortic valve, show more spatial information than 2DE in diagnosis of BAV.
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