| 王莉,刘特长,虢艳,于明华,李健茹,陆叶,梁小碧.超声心动图诊断右肺动脉异常起源[J].中国医学影像技术,2018,34(1):56~59 |
| 超声心动图诊断右肺动脉异常起源 |
| Echocardiographic diagnosis of anomalous origin of right pulmonary artery |
| 投稿时间：2017-04-20 修订日期：2017-11-13 |
| DOI：10.13929/j.1003-3289.201704109 |
| 中文关键词: 肺动脉 超声心动描记术 |
| 英文关键词:Pulmonary artery 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）诊断单侧右肺动脉异常起源（AORPA）的价值。方法 收集经手术确诊为AORPA的患儿26例，分析其TTE特征。结果 AORPA的TTE表现为右肺动脉异常起源于升主动脉，主肺动脉和左肺动脉正常显示。26例患儿TTE均明确诊断为AORPA，诊断符合率为100%。其中9例合并Berry综合征，1例合并主动脉缩窄，22例合并动脉导管未闭，23例合并继发孔型房间隔缺损或卵圆孔未闭，25例合并重度肺动脉高压，TTE对各合并结构异常的诊断准确率分别为100%（26/26）、100%（26/26）、96.15%（25/26）、92.31%（24/26）、100%（26/26）。结论 TTE可早期、准确诊断AORPA，对其他心内伴随畸形诊断准确率高，多切面扫查有助于减少漏、误诊，可作为AORPA的首选检查方法。 |
| 英文摘要: |
| Objective To explore the diagnostic value of transthoracic echocardiography (TTE) for anomalous origin of right pulmonary artery (AORPA).Methods Echocardiographic data of 26 patients with AORPA proved by surgical operation were analyzed retrospectively.Results TTE showed that the pulmonary trunk and the left pulmonary artery were displayed normally, and the right pulmonary artery originated from the ascending aorta. AORPA in all 26 patients were diagnosed, and the coincidence rate was 100%. Among 26 patients, 9 associated with Berry's syndrome, 1 combined with coarctation of aorta, 22 combined with patent ductus arteriosus, 23 combined with atrial septal defect or patent foramen ovale, 25 were found with severe pulmonary artery hypertension, and the diagnostic accuracy rate of TTE was 100% (26/26), 100% (26/26), 96.15% (25/26), 92.31% (24/26) and 100% (26/26), respectively.Conclusion TTE can early and accurately diagnose AORPA, also has high accuracy in diagnosis of other concomitant malformations. Multi-section scan can reduce misdiagnosis. TTE can be taken as the preferred inspection method for diagnosing AORPA. |
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