实时三维超声心动图对川崎病患儿冠状动脉病变的诊断与随访

目的探讨实时三维超声心动图(RT-3DE)对川崎病患儿冠状动脉病变的诊断与随访价值。方法用RT-3DE测量66例川崎病患儿冠状动脉内径,观察是否存在冠状动脉瘤、血栓和冠状动脉狭窄。平均随访2年,评价随访结果。结果 66例患儿中,46例出现冠状动脉病变。随访发现冠状动脉恢复时间与其病变严重程度相关。结论 RT-3DE能立体显示川崎病患儿冠状动脉结构。长期随访,大多数川崎病患儿预后较好。

Real-time three-dimensional echocardiography in diagnosis and follow-up of coronary artery lesions of Kawasaki disease

Objective To assess the application value of real-time three-dimensional echocardiography (RT-3DE) in diagnosis and follow-up of coronary artery lesions in patients with Kawasaki disease (KD). Methods Totally 66 patients with KD were examined with RT-3DE. The diameter coronary arteries were measured and the coronary aneurysm, thrombus and stenosis were observed. The mean period of follow-up was 2 years. Results Coronary artery lesions were detected in 46 patients. The recovery time of the coronary artery lesions in KD patients related with the severity of lesions. Conclusion RT-3DE can provide structure information of coronary artery. Most of the patients with KD have good prognosis in long term follow-up.