超声心动图诊断完全型肺静脉异位引流及合并心脏畸形

发布时间：2018-03-18 10:46

本文选题：完全型肺静脉异位引流　切入点：心脏缺损　出处：《中国医学影像技术》2016年02期 　论文类型：期刊论文

【摘要】：目的探讨超声心动图诊断完全型肺静脉异位引流(TAPVD)及合并心脏畸形的应用价值。方法回顾性分析经我院超声心动图诊断为TAPVD的59例患儿的临床及超声心动图诊断资料,其中12例于本院接受CTA检查,19例于本院接受手术治疗,对余28例进行电话随访。结果 59例TAPVD患儿中,心上型24例(24/59,40.68%),心内型22例(22/59,37.29%),心下型8例(8/59,13.56%),混合型5例(5/59,8.47%)。59例患儿均合并房间隔缺损,其中10例共同肺静脉伴有不同程度的狭窄。除8例失访外,在接受CTA检查与手术治疗的51例患儿中,50例超声心动图检查结果得到证实,余1例误诊。超声心动图诊断符合率为98.04%(50/51),诊断引流位置准确率为100%(50/50)。结论超声心动图对诊断TAPVD分型及合并心脏畸形具有重要的应用价值。
[Abstract]:Objective to evaluate the value of echocardiography in the diagnosis of complete anomalous pulmonary venous drainage (TAPVD) and cardiac malformation. Methods the clinical and echocardiographic data of 59 children with TAPVD diagnosed by echocardiography in our hospital were retrospectively analyzed. Among them, 12 cases received CTA examination and 19 cases received surgical treatment in our hospital. The remaining 28 cases were followed up by telephone. Twenty-four cases of heart type (24 cases) with 24 / 59.99% 40.68 cases, 22 cases of intracardiac type with 22% 59.937.29 cases, 8 cases of subcardiac type with 8 / 59 cases with 13.56T, 5 cases with mixed type 5 / 599.47% with atrial septal defect, 10 cases with common pulmonary vein with varying degrees of stenosis, were all associated with atrial septal defect. The results of echocardiography were confirmed in 50 cases of 51 children who received CTA examination and surgical treatment. The other 1 case was misdiagnosed. The diagnostic coincidence rate of echocardiography was 98.04 / 50 / 51 and the accuracy of diagnosis of drainage position was 100 / 50 / 50. Conclusion Echocardiography is of great value in the diagnosis of TAPVD classification and cardiac malformation.
【作者单位】：中国医科大学附属盛京医院超声科;
【基金】：辽宁省科技厅科学技术计划项目(2013225049)
【分类号】：R540.45;R725.4

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