室间隔缺损并发畸形的发生率和超声心动图检测的漏诊分析

目的 :探讨室间隔缺损并发畸形的发生率及超声心动图漏检并发畸形的原因。方法 :对 379例非复杂性先心病室缺并发畸形的超声心动图检测结果与手术所见进行比较。结果 :较常见的非复杂性先心病室缺并发畸形的发生率为 36.0 % ,为卵圆形未闭、房缺、动脉导管未闭、右室流出道狭窄、右室双腔心及肺动脉瓣狭窄。超声心动图比较容易漏诊的室缺并发畸形为卵圆孔未闭、右室流出道狭窄及一些少见并发畸形。结论 :彩色多普勒超声心动图对室缺并发畸形具有一定的漏诊率 ,注意全面扫查及改进探查技巧有助于提高室缺并发畸形的检出

Incidence of anomalies accompanied by ventricular septal defect and analysis of misdiagnosis from echocardiography

AIM:To evaluate the incidence of anomalies accompanied by ventricular septal defect(VSD) and analyze the causes of misdiagnosis from echocardiography. METHODS:Comparison was made between the accompained anomalies in 379 VSD patients with uncomplex congential heart disease detected by echocardiography and those found by surgery. RESULTS:The incidence of anomalies accompanied with VSD was 36.0%;the common anomalies accompanied by VSD in uncomplex congenital heart disease were patent foramen ovale,atrial septal defect,patent ductus arteriosus,right ventricular outflow tract stenosis,double chambered right ventricle and pulmonary valve stenosis. Patent foramen ovale,right ventricular outflow tract stenosis and some rare anomalies accompanied by VSD were likely to be missed by echocardiographic detection. CONCLUSION:Color Doppler echocardiography has certain misdiagnosis rate for anomalies accompanied by VSD. To systematically scan and improve scanning technique might increase the detecting rate of the anomalies accompanied by VSD.