超声心动图对婴儿完全性大动脉转位的诊断价值

目的 探讨超声心动图对婴儿完全性大动脉转位的诊断价值。方法 将13例婴儿完全性大动脉转位超声心动图特征与手术结果进行对照分析。结果 室间隔完整型大动脉转位5例(合并房间隔缺损、动脉导管未闭2例，单纯合并动脉导管未闭2例，单纯合并房间隔缺损1例)。大动脉转位合并室间隔缺损8例(其中合并室间隔缺损、房间隔缺损、动脉导管未闭3例，房、室间隔缺损1例，单纯合并室间隔缺损3例，1例合并室间隔缺损、右冠状动脉双支)。13例中，12例术前超声诊断与手术结果完全一致，1例冠状动脉畸形超声未检出。结论 超声心动图可早期明确诊断婴儿完全性大动脉转位及其分型，为临床提供准确信息，对婴儿早期进行大动脉转位调转术的筛选及术后随访有重要临床价值。

Diagnostic value of echocardiography in complete great artery transposition of infants

Objective To evaluate the diagnosis value of echocardiography in infants with complete transposition of the great artery.Methods Echocardiographic characteristics of 13 cases with completely artery transposition were compared with the results of operation.Results Simple artery transposition in complete ventricular septum occurred in 5 cases(atrial septal defect with patent arterial duct in 2 cases,simple patent arterial duct in 2 cases, simple atrial septal defect in 1 case).Great artery transposition with ventricular septal defects occurred in 8 cases (great artery transposition with ventricular septal defects, atrial septal defects,patent arterial duct in 3 cases; atrial and ventricular septal defect in 1 case; ventricular septal defect in 3 cases; ventricular septal defect with two branches of right coronary artery in 1 case).Out of 13 cases,the ultrasound diagnosis in 12 cases before operation was completely consistent with that of operation.Coronary deformity in one case had not been detected by echocardiography.Conclusions Great artery transposition in infants can be diagnosed and typed early by echocardiography,which provides the reliable information for clinic selection of operation and follow up survey.