摘要
该报告经手术证实１１１例先心病患者的超声检查结果：①Ｍ型超声检查８２例，手术对照总符合率９０．２％，特异性３２％。其中对ＶＳＤ的特异性５４．５％（手术见ＶＳＤ直径１．０～３．５ｃｍ）；对ＡＳＤ的特异性２２％（ＡＳＤ直径２．５～４．０ｃｍ）；对Ｆ４的特异性７５％，尤其对主动脉跨度的检测与心血管造影及手术所见基本一致。②二维超声检查５９例，与手术对照总符合率１００％。特异性７５％，尤其对直径０．５ｃｍ以上ＶＳＤ、１．５ｃｍ以上ＡＳＤ特异性高，并可明确诊断Ｆ４．３，两种超声对ＰＤＡ的诊断特异性低。本文结果提示：Ｍ型超声在我国广大基层医院对于先心病的诊断仍有较大价值。
patients with congenital heart diease that were confirmed by operation were investigated. In order to explore value of ultrasonic diagnosis, Ultrasonic diagnosis before operation was contrasted with operation.The results showed: 1. 82 patients were deteced with M-UCG, sensitivity was 90.2%, specificity 32%, misdagnostic rate 9. 8%. In ventricular septal defect (VSD): Sensitivity was 84. 6% , specifivity 54. 5%; (diameters of VSD found in operation were 1. 0 to 3.5cm); In atrial septal defect (ASD): Sensitivity was 94. 4% specificity 22%; In Falloti's tetrad, sensitivity was 92%, specifivity 75%, particularly, extent of aorta strddle detected with UCG was similar to one found with cardioangiography and operation.2. 59 patent were examined with two dimensional echocardiogram; sensitivity was 100%, specificity 75%, In VSD, sspecificity was 95. 5% (diameters of VSD found in operation was 0. 5 to 3. 5cm); In ASD, specificity was 88. 5% (diameters of ASD foud in operation was 2. 0 to 4. 0cm).3. In paten ductus arterios us (PDA): Sensitivity of UCG was highest, specificity was lowest in four diseases. In indicated; diagnosis PDA with Ultrasound was restrivitve.In order to explore accuracy of Ultrasonic diagnosis, Ultrsound was contrasted with cardiac catheter, cardiongiography, acoustic angiography and pulse Doppler in some complex de-formity, Besides, we analysed also UCG misdiagnostic patients.
出处
《中国现代医学杂志》
CAS
CSCD
1994年第3期10-11,15+78-79,共5页
China Journal of Modern Medicine
