摘要
目的:评价多普勒超声心动图诊断部分性肺静脉异位引流(PAPVC)的价值。方法:回顾分析132例经心外科手术确诊为PAPVC患者的超声心动图诊断情况。结果:根据Brody分型,132例患者中A型14例,超声诊断11例,诊断正确率78.6%;B型103例,超声诊断57例,正确率55.3%;C型4例,超声诊断3例,诊断正确率75%;D型3例,混合型8例,术前超声均未能做出正确诊断。132例患者中右侧肺静脉异位引流90.1%;左侧肺静脉异位引流7.4%,双侧占2.5%。合并房间隔缺损(ASD)121例(91.7%),其中静脉窦型ASD 40例(33.1%),功能性单心房(大型ASD)或单心房18例(14.9%),继发孔型ASD 63例(52%);9例房间隔完整(6.8%),2例冠状静脉窦隔缺损(1.5%)。结论:彩色多普勒超声心动图可以清晰显示肺静脉的回流情况,准确诊断PAPVC。
Objective： To evaluate the value of Doppler echocardiography in diagnosing partial anomalous pulmonary venous connection （PAPVC）. Methods：A retrospective echocardiography review of 132 patients with PAPVC confirmed by surgical operation.Results：According to Brody＇s classification. 11/14 patients （78.6%） with type A PAPVC were diagnosed accurately by Doppler echocardiography. 57/103 patients （55.3%） with type B were diagnosed. 3/4 patients （75%） with type C were diagnosed. 3 patients with type D and 8 patients with mixed type were unconfirmed lay Doppler echocardiography. Amorg the 132 patierts, that of right anomalous pulmonary venous connection covets 90.1%, left anomalous pulmonary venous connection 7.4% and bilateral cases 2.5%. The most common associated anomaly was an atrial septal defect （ASD） in 121 patients （91.7%） ,40 patients （33.1%） having sinus venous ASD, 18 patients （14.9%） having large ASD or single atrium, 63 patients （52 % ） having secondary ASD, 9 patients （6.8 % ） had an intact atrial septum. 2 patients （ 1.5 % ） having partial sinus septal defects. Conclusion： The reflux of pulmonary vein and the continuity of atrial septeum could be demonstrated and PAPVC could be diagnosed aecurately by Doppler echocardiography.
出处
《医学影像学杂志》
2007年第6期567-570,共4页
Journal of Medical Imaging
关键词
部分性肺静脉异位引流
多普勒超声心动图
Doppler echocardiography
Partial anomalous pulmonary venous connection
