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| 经胸超声心动图与经食管超声心动图对比观察成人多发房间隔缺损 | |
| 引用本文： | 侯传举,李燕萍,邓东安,朱鲜阳,韩秀敏,刘剑立,胡斌,王巧玲. 经胸超声心动图与经食管超声心动图对比观察成人多发房间隔缺损[J]. 中国医学影像技术, 2010, 26(3): 488-491 |
| 作者姓名： | 侯传举 李燕萍 邓东安 朱鲜阳 韩秀敏 刘剑立 胡斌 王巧玲 |
| 作者单位： | 1. 沈阳军区总医院先天性心脏病内科,辽宁,沈阳,110840 2. 解放军202医院妇产科,辽宁,沈阳,110003 3. 武警辽宁总队医院院部,辽宁,沈阳,110034 |
| 摘 要： | 目的 探讨经胸超声心动图(TTE)与经食管超声心动图(TEE)对成人多发继发孔房间隔缺损(MASD)的诊断价值.方法 成人MASD患者30例接受TTE检查,其中25例接受TEE检查,26例接受心导管检查;20例接受MASD封堵术介入治疗,18例封堵成功;4例接受体外循环下开胸修补术.结果 TTE与TEE全部诊断继发孔房间隔缺损,TTE诊断缺损数量准确率60.00%(18/30);TEE诊断缺损数量准确率96.00%(24/25).MASD的彩色多普勒血流显像(CDFI)特征性改变是显示多束过房间隔左向右五彩镶嵌分流束血流信号,即CDFI"漏勺征".结论 TTE对成人MASD诊断有一定难度,TEE有特异性诊断价值.开胸修补术治疗成人MASD行TTE检查即可,行封堵术介入治疗成人MASD必须行TEE检查以明确诊断缺损的数量和位置. |
| 关 键 词： | 心脏缺损,先天性 超声心动描记术 |
| 收稿时间： | 2009-08-19 |
| 修稿时间： | 2009-11-12 |
Comparison between transthoracic and transesophageal echocardiography in diagnosing adult multiple atrial septal defect |
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| HOU Chuan-ju,LI Yan-ping,DENG Dong-an,ZHU Xian-yang,HAN Xiu-min,LIU Jian-li,HU Bin and WANG Qiao-ling. Comparison between transthoracic and transesophageal echocardiography in diagnosing adult multiple atrial septal defect[J]. Chinese Journal of Medical Imaging Technology, 2010, 26(3): 488-491 | |
| Authors: | HOU Chuan-ju LI Yan-ping DENG Dong-an ZHU Xian-yang HAN Xiu-min LIU Jian-li HU Bin WANG Qiao-ling |
| Affiliation: | Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China;Department of Obstetrics and Gynecology, No.202 Hospital of PLA, Shenyang 110003, China;Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China;Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China;Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China;Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China;Department of Administration, Liaoning Provincial Corps Hospital, Chinese People's Armed Police Forces, Shenyang 110034, China;Department of Congenital Heart Disease Medicine, Shenyang Military General Hospital, Shenyang 110840, China |
| Abstract: | Objective To explore the value of transthoracic echocardiography(TTE) and transesophageal echocardiography(TEE) in diagnosing adult multiple atrial septal defect(MASD).Methods Thirty adult patients with MASD were examined with TTE,25 patients were examined also with TEE,26 patients were examined with cardiac catheterization as well.Transcatheter closure of MASD was performed in 20 patients and succeeded in 18,while open-chest operation was performed in 4 patients.Results Foramen secundum atrial septal defec... |
| Keywords: | Heart defects,congenital Echocardiography |
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