| 王海燕,侯应龙,厉泉,宫玉玲,仉晓红.主动脉缩窄合并心脏畸形的超声诊断与术后疗效评估[J].中国医学影像技术,2013,29(10):1625~1628 |
| 主动脉缩窄合并心脏畸形的超声诊断与术后疗效评估 |
| Echocardiographic diagnosis of coarctation of aorta associated with heart anomalies and evaluation on postoperative effect |
| 投稿时间：2013-05-15 修订日期：2013-06-22 |
| DOI： |
| 中文关键词: 心脏病 主动脉缩窄 超声心动描记术 |
| 英文关键词:Heart diseases Aortic coarctation Echocardiography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超声心动图对主动脉缩窄(CoA)合并心脏畸形的术前诊断要点、诊断误区及术后疗效和并发症的评估价值.方法 回顾性分析30例CoA合并心脏畸形患者,术前超声评估CoA的部位、形态、缩窄程度及合并心脏畸形,将结果与手术、主动脉CTA或心导管造影结果进行对比,术后针对不同手术方法评估矫治部位的二维形态、前向血流压差及可能出现的并发症.结果 术前超声诊断正确25例;4例漏诊CoA,超声提示主动脉全程发育偏细,后经CTA或心导管造影证实合并CoA;另1例CoA合并二尖瓣狭窄,经超声复查后根据间接征象提示缩窄.术后1例发生再缩窄.结论 超声心动图能够准确诊断绝大多数CoA合并心脏畸形及评估手术疗效和术后并发症,但对少数特殊病例,在仅有间接诊断证据的前提下,仍需结合CTA共同做出诊断. |
| 英文摘要: |
| Objective To investigate the preoperative diagnosis, diagnosis misunderstanding and the operative effect and complications of coarctation of the aorta (CoA) with heart anomalies using echocardiography. Methods Thirty patients with CoA were enrolled. Preoperative ultrasonic assessment were performed in all patients, including the morphology and degree of stenosis of CoA as well as combined heart malformations. The form of CoA on 2D ultrasonography, the differential pressure of forward flow and possible complications were evaluated after surgical operation with different methods. Results Twenty-five cases of CoA were diagnosed correctly with echocardiography. Ultrasonic findings only showed the lumen of entire aorta diminished in 4 cases, and CoA was diagnosed ultimately with CTA or transcatheter cardiac angiography. According to indirect ultrasonic signs, CoA was suggested in 1 case with severe mitral stenosis. Recurrent coarctation was observed in 1 patient. Conclusion Echocardiography is a reliable technique for diagnosing the vast majority of CoA with heart anomalies and assessing effect of surgical treatment as well as postoperative complications, while combination with CTA is necessary in a few cases with only indirect diagnostic evidences. |
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