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先天性主动脉左室隧道的多普勒超声心动图诊断
引用本文:吴力军,张玉奇,孙锟,倪金洪,高玲玲,汪洁,沈蓉. 先天性主动脉左室隧道的多普勒超声心动图诊断[J]. 医学影像学杂志, 2010, 20(3): 343-346
作者姓名:吴力军  张玉奇  孙锟  倪金洪  高玲玲  汪洁  沈蓉
作者单位:1. 上海交通大学医学院附属新华医院超声中心,上海,200092
2. 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:分析先天性主动脉左室隧道(ALVT)彩色多普勒超声心动图图像特征,评价多普勒超声心动图诊断ALVT的准确性。方法:回顾性总结了14例ALVT患者的超声检测结果,并与其外科手术结果相对照。结果:14例患者中超声心动图诊断正确11例(占78.6%),误诊2例(占14.3%),漏诊1例(占7.1%)。二维超声图像表现为主动脉前壁或后壁管状隧道结构与左心室流出道相通;彩色多普勒超声显像示收缩期血流信号从左心室流出道经隧道流向主动脉,舒张期血流信号从主动脉经隧道逆向进入左心室流出道。最常见的合并畸形为主动脉瓣返流。结论:多普勒超声心动图可以较准确地诊断ALVT,但需与主动脉瓣返流及主动脉窦瘤破裂相鉴别。

关 键 词:主动脉左室隧道  超声心动描记术,多普勒

The diagnosis of aortic-left ventricular tunnel by Doppler Echocardiography
WU Li-jun,ZHANG Yu-qi,SUN Kun,NI Jin-hong,GAO Ling-ling,WANG Jie,SHEN Rong. The diagnosis of aortic-left ventricular tunnel by Doppler Echocardiography[J]. Journal of Medical Imaging, 2010, 20(3): 343-346
Authors:WU Li-jun  ZHANG Yu-qi  SUN Kun  NI Jin-hong  GAO Ling-ling  WANG Jie  SHEN Rong
Affiliation:WU Li-jun1,ZHANG Yu-qi2,SUN Kun1,NI Jin-hong1,GAO Ling-ling1,WANG Jie1,SHEN Rong2 1.Department of Echocardiography,Xinhua Hospital,Shanghai Jiaotong University,Shanghai 200092,P.R.China2.Department of Pediatric Cardiology,Shanghai Children's Medical Center,Shanghai 200127,P.R.China
Abstract:
Objective:To review the imaging characteristics of aortic-left ventricular tunnel(ALVT) and to evaluate the accuracy of the diagnosis by Doppler echocardiography.Methods:Doppler echocardiography was performed and these images were compared with operative findings in 14 patients.Results:11 of 14 of cases(78.6%) were diagnosed correctly,in the remaining 3 cases(21.4%),2 cases(14.3%) were misdiagnosed,1 case(7.1%) were missed diagnosis.The features of echocardiographic images included: the parasternal long axi...
Keywords:Aortic-left ventricular tunnel  Echocardiography  Doppler  
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