| 房室间隔缺损的无创伤诊断 |
| |
| 引用本文： | 张晓洁,张玉奇,陈笋,张志芳,沈蓉,黄美蓉. 房室间隔缺损的无创伤诊断[J]. 临床儿科杂志, 2009, 27(5) |
| |
| 作者姓名： | 张晓洁 张玉奇 陈笋 张志芳 沈蓉 黄美蓉 |
| |
| 作者单位： | 上海交通大学医学院附属上海儿童医学中心心内科,上海,200127;上海交通大学医学院附属上海儿童医学中心心内科,上海,200127;上海交通大学医学院附属上海儿童医学中心心内科,上海,200127;上海交通大学医学院附属上海儿童医学中心心内科,上海,200127;上海交通大学医学院附属上海儿童医学中心心内科,上海,200127;上海交通大学医学院附属上海儿童医学中心心内科,上海,200127 |
| |
| 摘 要： | 目的 评价二维多普勒超声心动图(2-DE)诊断房室间隔缺损(AVSD)的准确性.方法 选择122例经手术明确诊断为AVSD的患儿,以手术后诊断为金标准,分析术前2-DE和心导管及心血管造影(CATH)诊断的灵敏度、特异度.结果 2-DE对部分性房室间隔缺损(PAVC)的诊断灵敏度和特异度为97.5%和99.9%,对完全性房室间隔缺损(CAVC)和过渡性房室间隔缺损(TAVC)的诊断灵敏度和特异度为93.9%和99.9%;CATH对PAVC的诊断灵敏度和特异度为87.5%和99.9%,对CAVC和TAVC的诊断灵敏度和特异度为97.8%和99.8%.2-DE与CATH诊断比较差异均无统计学意义.结论 2-DE可对AVSD作出较为准确的诊断,但在2-DE提示存在明显肺动脉高压或合并其他心内畸形时,需进一步行心导管和心血管造影检查.
|
| 关 键 词： | 二维多普勒超声心动图 房室间隔缺损 儿童 |
Noninvasive preoperative diagnosis in children with atrioventricular septal defects |
| |
| ZHANG Xiao-jie,ZHANG Yu-qi,CHEN Sun,ZHANG Zhi-fang,SHEN Rong,HUANG Mei-rong. Noninvasive preoperative diagnosis in children with atrioventricular septal defects[J]. The Journal of Clinical Pediatrics, 2009, 27(5) |
| |
| Authors: | ZHANG Xiao-jie ZHANG Yu-qi CHEN Sun ZHANG Zhi-fang SHEN Rong HUANG Mei-rong |
| |
| Affiliation: | Department of Pediatric Cardiology;Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine;Shanghai 200127;China |
| |
| Abstract: | Objective To evaluate the value of echocardiography in diagnosis of atrioventricular septal defects (AVSD) . Methods Records of two dimensional color Doppler ( 2-DE) , catheterization ( CATH) and post-operative diagnosis of 122 children with AVSD were reviewed. The sensitivity and specificity of the preoperative diagnosis of 2-DE and CATH were evaluated and the intraoperative diagnosis made by surgical inspection served as the golden standard. Results The diagnostic sensitivity and specificity of 2-DE in de... |
| |
| Keywords: | two dimensional color Doppler echocardiography atrioventricular septal defects children |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
