超声心动图诊断肺动脉吊带的价值

发布时间：2018-01-22 06:34

本文关键词： 超声心动图肺动脉吊带　出处：《中国超声医学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨超声心动图对肺动脉吊带的诊断价值。方法回顾性分析23例肺动脉吊带超声心动图二维图像、彩色多普勒声像图表现并与心血管造影、心脏CT及手术结果对比分析,总结其诊断特点,找出漏诊的原因。结果术前确诊19例,漏诊4例。2例合并法洛四联症,3例合并动脉导管未闭,3例合并房间隔缺损,2例合并永存左上腔静脉。超声的特征性表现为肺动脉分叉消失,主肺动脉直接延续为右肺动脉,于右肺动脉发出异常起源的左肺动脉。漏诊病例中:2例合并法洛四联症,1例合并动脉导管未闭。23例患儿均伴有不同程度气道受压,有明显气道狭窄的18例。19例超声诊断与心脏CT及手术结果符合。结论超声心动图诊断肺动脉吊带具有重要临床意义。
[Abstract]:Objective to evaluate the value of echocardiography in the diagnosis of pulmonary artery sling. Methods Twenty three cases of pulmonary artery sling were analyzed retrospectively by echocardiography, color Doppler sonography and angiocardiography. Results 19 cases were diagnosed before operation, and 4 cases were missed in 4 cases with tetralogy of Fallot 3 cases with patent ductus arteriosus. Left superior vena cava was found in 2 cases with atrial septal defect in 3 cases. The characteristic manifestation of ultrasound was that the bifurcation of pulmonary artery disappeared and the main pulmonary artery continued directly to the right pulmonary artery. The left pulmonary artery with abnormal origin in the right pulmonary artery. In the misdiagnosed cases, 2 cases were complicated with tetralogy of Fallot, 1 case with patent ductus arteriosus. 23 cases were all accompanied with different degree of airway pressure. The ultrasonic diagnosis of 18 cases with obvious airway stenosis was consistent with the results of cardiac CT and operation. Conclusion Echocardiography is of great clinical significance in the diagnosis of pulmonary artery sling.
【作者单位】：青岛大学附属妇女儿童医院超声科;首都儿科研究所附属儿童医院心内科;
【分类号】：R540.45;R725.4
【正文快照】： 作者单位:266000山东省青岛市,青岛大学附属妇女儿童医院超声科(万浩、周彩萍、管俊梅、邢泉生);首都儿科研究所附属儿童医院心内科(郑春华)结果术前确诊19例,漏诊4例。2例合并法洛四联症,3例合并动脉导管未闭,3例合并房间隔缺损,2例合并永存左上腔静脉。超声的特征性表现为肺

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