| 经食管超声心动图在三尖瓣下移手术中的应用价值 |
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| 引用本文： | 唐秀杰,王春燕,潘广玉,郑春华,王廉一,李洪银,吴清玉. 经食管超声心动图在三尖瓣下移手术中的应用价值[J]. 中华超声影像学杂志, 2010, 19(1): 468-470. DOI: 10.3760/cma.j.issn.1004-4477.2010.06.003 |
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| 作者姓名： | 唐秀杰 王春燕 潘广玉 郑春华 王廉一 李洪银 吴清玉 |
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| 作者单位： | 清华大学第一附属医院心脏中心,北京,100016; |
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| 摘 要： | 目的 探讨经食管超声心动图在三尖瓣下移手术中的应用价值.方法 回顾性分析69例三尖瓣下移畸形的术中经食管超声特征.结果 三尖瓣下移畸形体外循环前所有病例经食管超声心动图均能清晰显示三尖瓣瓣叶的解剖特性,6例发现三尖瓣前叶下移,6例三尖瓣后叶发育不良,3例后叶缺如;10例三尖瓣下移畸形成形术后经食管超声心动图显示三尖瓣中度反流,指导再次成形至满意.结论 经食管超声心动图在三尖瓣下移手术中体外循环前能够补充修正诊断,评价体外循环后手术效果,增加手术成功率.
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| 关 键 词： | 超声心动描记术,经食管 爱泼斯坦异常 |
Value of transesophageal echocardiography in the operation of Ebstein' s anomaly |
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| TANG Xiu-jie,WANG Chun-yan,PAN Guang-yu,ZHENG Chun-hua,WANG Lian-yi,LI Hong-yin,WU Qing-yu. Value of transesophageal echocardiography in the operation of Ebstein' s anomaly[J]. Chinese Journal of Ultrasonography, 2010, 19(1): 468-470. DOI: 10.3760/cma.j.issn.1004-4477.2010.06.003 |
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| Authors: | TANG Xiu-jie WANG Chun-yan PAN Guang-yu ZHENG Chun-hua WANG Lian-yi LI Hong-yin WU Qing-yu |
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| Abstract: | Objective To study the value of transesophageal echocardiography(TEE) in the operation of Ebstein's anomaly(EA).Methods The TEE characteristics of 69 patients with Ebstein's anomaly were retrospectivly analized.Results TEE could display the anatomic features of tricusipid valves(TV) clearly in all patients.Six cases were found having downward displacement of anterior leaflet before cardiopulmonary bypass,6 were found having hypoplasia of posterior leaflet, and posterior leaflets were absent in 3 cases.Ten cases were found middle regurgitation of TV by TEE after surgical correction during the operation, which had been improved satisfatorily by second time TV plasty.Conclusions TEE is useful in accurate diagnosis of the EA,and evaluation of operative effects during the operation, thus could help increase success rate of operation. |
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| Keywords: | Echocardiography transesophagealEbstein's anomaly |
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