超声心动图诊断部分性肺静脉异位引流的价值

发布时间：2018-08-08 20:36

【摘要】：目的探讨超声心动图对部分性肺静脉异位引流(PAPVC)的诊断价值。方法回顾性分析29例PAPVC患者二维超声及彩色多普勒图像表现并与心血管造影、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25例,漏诊3例,1例提示诊断。右上肺静脉引流入右心房19例;右上肺静脉引流入上腔静脉2例;右上肺静脉及右下肺静脉均引流入右心房2例;右下肺静脉引流入右心房2例;右上肺静脉及右下肺静脉引流入冠状静脉窦1例;左上及左下肺静脉通过垂直静脉引流入左无名静脉3例。合并房间隔缺损(ASD)27例,其中静脉窦型ASD 20例,继发孔ASD 7例,1例房间隔完整,1例合并卵圆孔未闭。25例超声诊断与心血管造影、手术结果符合。结论超声心动图诊断PAPVC具有较高的准确度,但在成人时期容易漏诊。
[Abstract]:Objective to evaluate the value of echocardiography in the diagnosis of partial anomalous pulmonary venous drainage (PAPVC). Methods 29 patients with PAPVC were analyzed retrospectively and compared with angiocardiography. The diagnostic features were summarized and the causes of missed diagnosis were found out. Results 25 cases were diagnosed before operation, 3 cases missed diagnosis and 1 case suggested diagnosis. Right superior pulmonary vein was introduced into right atrium in 19 cases, right superior pulmonary vein into superior vena cava in 2 cases, right superior pulmonary vein and right inferior pulmonary vein into right atrium in 2 cases, right inferior pulmonary vein into right atrium in 2 cases, right superior pulmonary vein into right atrium in 2 cases, right superior pulmonary vein into right atrium in 2 cases. The right superior pulmonary vein and right inferior pulmonary vein were introduced into the coronary sinus in 1 case, and the left superior and left inferior pulmonary veins were introduced into the left unnamed vein through vertical vein in 3 cases. There were 27 cases of (ASD) complicated with atrial septal defect, including 20 cases of ASD of venous sinus type, 7 cases of ASD of secondary foramen, 1 case of complete atrial septum and 1 case of patent foramen ovale. 25 cases were diagnosed by ultrasonography and angiocardiography. The results of operation were consistent. Conclusion Echocardiography has high accuracy in the diagnosis of PAPVC, but it is easy to be missed in adulthood.
【作者单位】：驻马店中心医院超声科;首都儿科研究所附属医院心内科;首都儿科研究所附属医院心外科;河北工程大学附属医院;
【分类号】：R445.1;R543.2

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