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实时三维、多平面二维经食管超声心动图在房间隔缺损测量的对比研究
引用本文:王飞, 赖玉琼. 实时三维、多平面二维经食管超声心动图在房间隔缺损测量的对比研究[J]. 分子影像学杂志, 2015, 38(4): 319-322. doi: 10.3969/j.issn.1674-4500.2015.04.03
作者姓名:王飞  赖玉琼
作者单位:佛山市第一人民医院超声诊疗中心,广东佛山528000
摘    要:目的比较实时三维、多平面二维经食管超声心动图在房间隔缺损(atrial septal defect, ASD)测量的应用价值。方法对67例继发孔型房间隔缺损患者分别应用经食管二维超声常规切面法、经食管二维超声十二切面法、实时三维经食管超声法进行测量,并将各测量结果与封堵器大小行相关性分析。结果经食管二维超声常规切面法在整体(P < 0.001)、大ASD组(P < 0.001)、椭圆形ASD组(P < 0.01)测量ASD最大径小于实时三维经食管超声法,差异有统计学意义;经食管二维超声十二切面法在小ASD组(P < 0.05)测量ASD最大径大于实时三维经食管超声法,差异有统计学意义;实时三维经食管超声法测量房间隔缺损最大径与封堵器大小的相关性高于经食管二维超声常规切面法及十二切面法。结论实时三维经食管超声可准确测量房间隔缺损,对封堵器选择有重要指导作用。经食管二维超声十二切面法可与实时三维经食管超声法互为补充。

关 键 词:实时三维经食管超声心动图   多平面二维经食管超声心动图   房间隔缺损
收稿时间:2015-03-01

Comparison study of three-dimensional and two-dimensional transesophageal echocardiography in measurement of atrial septal defect
Fei WANG, Yuqiong LAI. Comparison study of three-dimensional and two-dimensional transesophageal echocardiography in measurement of atrial septal defect[J]. Journal of Molecular Imaging, 2015, 38(4): 319-322. doi: 10.3969/j.issn.1674-4500.2015.04.03
Authors:Fei WANG  Yuqiong LAI
Affiliation:Department of Ultrasound, the First People's Hospital of Foshan, Foshan 528000, China
Abstract:Objective To campare the application value of three-dimensional (3D) and two-dimensional (2D) transesophageal echocardiography (TEE) in measuring atrial septal defect (ASD). Methods Sixty-seven patients with ASD who undergoing percutaneous trans catheter closure treatment were enrolled. The diameter of ASDs were measured by conventional 2DTEE, 12-plane 2DTEE and 3 DTEE respectively, and correlation with the maximal diameter of ASD and the size of occluder was analyzed. Results The maximal diameter of ASD measured by conventional 2DTTE was less 3DTEE in integral group (P < 0.001), large group (P < 0.001) and Oval group (P < 0.01); the maximal diameter of ASD measured by 12-plane 2DTEE was greater than 3DTTE in small group (P < 0.05). The correlation between the maximal diameter of ASD measured by 3DTEE and the size of the occluder was greater than conventional 2DTEE and 12-plane 2DTEE in all groups. Conclusion 3DTEE can accurately measure the diameter of ASD, it plays an important role in occluder selection. 12-plane 2DTEE and 3DTEE can complement each other in ASD measurement. 
Keywords:three-dimensional transesophageal echocardiography  two-dimensional transesophageal echocardiography  atrial septal defect
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