先天性肺静脉狭窄的多普勒超声心动图诊断

目的：评价多普勒超声心动图对先天性肺静脉狭窄（PVS）的诊断价值。方法：回顾性分析15例经心导管、MRI检查或心外科手术证实为先天性PVS患者的超声心动图资料。结果：15例患者中右侧PVS 6例，超声诊断4例，诊断正确率为66.7%，漏诊2例，漏诊率为33.3%；左侧PVS 4例，超声诊断4例，正确率为100％；双侧PVS 5例，超声诊断4例，诊断正确率80％，1例患者左侧PVS漏诊。15例中单纯PVS 4例，占26.7%；其余11例均合并有其它心血管畸形，最常见的有房间隔缺损、室间隔缺损、动脉导管未闭、完全性房室间隔缺损、右室双出口等畸形。结论：彩色多普勒超声心动图可清晰显示肺静脉的回流情况，能较准确的诊断PVS。

The diagnosis of congenital pulmonary vein stenosis by Doppler echocardiography

Objective:To evaluate the diagnostic value for congenital pulmonary vein stenosis(PVS) by Doppler echocardiography.Methods:The echocardiography of 15 patients with PVS confirmed by catheterization, MRI or surgical operation were reviewed retrospectivey.Results:Among 15 PVS patients, six had right pulmonary vein stenosis, in whom 4 patients(66.7%) were diagnosed correctly by echocardiography, 2 patients(33.3%) were missed.Four patients had left pulmonary vein stenosis, all patients were diagnosed correctly.F...