| 沈琪.超声心动图在肺静脉异位引流诊断中的作用[J].安徽医药,2018,22(7):1305-1308. |
| 超声心动图在肺静脉异位引流诊断中的作用 |
| Evaluation of the diagnosis of anomalous pulmonary venous connections by echocardiography |
| 投稿时间：2017-10-19 |
| DOI： |
| 中文关键词: 心脏缺损, 先天性 超声心动描记术, 多普勒, 彩色 肺静脉 |
| 英文关键词: Heart defects, congenital Echocardiography, doppler, color Pulmonary veins |
| 基金项目: |
|
| 摘要点击次数: 1827 |
| 全文下载次数: 584 |
| 中文摘要: |
| 目的 探讨肺静脉异位引流(APVC)的超声心动图诊断价值。方法 回顾性分析2008年6月至2017年9月间安徽省儿童医院收治31例APVC患儿,男16例,女15例,年龄 6 d至15岁,中位年龄2.75岁。所有病例全部经手术或CT血管成像(CTA)证实为APVC。结果 31例肺静脉异位引流患儿中,9例为完全性肺静脉异位引流(TAPVC),22例为部分性肺静脉异位引流(PAPVC)。TAPVC包括心上型3例,心内型6例,超声诊断8例,诊断符合率为88.89%,漏诊率11.11%。PAPVC包括心上型6例,心内型14例,混合型1例,心下型1例,超声提示9例,诊断符合率为40.91%,漏诊率59.09%；22例PAPVC中异位肺静脉共29支,其中单支肺静脉异位15例,2支肺静脉异位7例。29例合并房间隔缺损(ASD)或卵圆孔未闭(PFO)。结论 超声心动图对TAPVC诊断的准确度较高,多切面连续追踪可明确其分型。而对右心增大伴有房间隔缺损的患儿需仔细探查所有肺静脉的走行及入口位置,警惕PAPVC的存在,提高对此病的检出率。 |
| 英文摘要: |
| Objectives To investigate the characteristics and value of echocardiography in diagnosing anomalous pulmonary venous connections (APVCs).Methods Retrospective analysis on 31 patients between June 2008 and September 2017. These include 16 male and 15 female cases, aged 6 d~15y (median age:2.75 y). All cases were verified by means of surgery or computed tomography angiography (CTA). Results The 31 cases comprise 9 cases of totally anomalous pulmonary venous connection (TAPVC) and 22 cases of partially anomalous pulmonary venous connection (PAPVC). The TPAVC cases consist of supra-cardiac (3) and intra-cardiac (6) cases, of these 8 were diagnosed by echocardiography. Diagnostic true positive rate was 88.89%. Diagnostic false negative rate was 11.11%. The PAPVC cases consist of supra-cardiac (6), intra-cardiac (14), infra-cardiac (1) and mixed (1) cases, of these 9 were detected by echocardiography. Diagnostic true positive rate was 40.91%. Diagnostic false negative was 59.09%. The 22 PAPVC patients had 29 anomalous pulmonary veins in total, including 15 patients with a single anomalous pulmonary vein and 7 with two anomalous pulmonary veins. Overall, 29 cases exhibited associated anomalies of atrial septal defects (ASD) or patent foramen ovale (PFO). Conclusions Echocardiography is able to provide accurate diagnosis and classification (via continuous tracking using multi-views) of TAPVCs, and hence possesses high clinical value. However, for patients with right atrial enlargement accompanied by ASD, one should explore carefully the alignment and point of entry of all pulmonary veins and be mindful of the existence of PAPVCs, so as to improve the diagnostic accuracy of the said condition. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
