摘要
62例先天性心脏病Ⅱ孔型房间隔缺损(ASD)患者,术前均行二维经胸超声(2D-TTE)、二维经食道超声(2DTEE)检查测量ASD最大径及经食道实时三维超声(RT-3DTEE)检查测量ASD最大直径及面积。将所得测结果与房间隔缺损封堵器(ASO)型号作对比。60例患者成功接受经导管房间隔缺损封堵术(TCASD)治疗,术后均未探及残余分流,1例因经食道实时三维超声诊断为多孔型ASD而放弃封堵,1例因上腔静脉侧残边缺如放弃封堵。RT-3D-TEE、2D-TEE和2D-TTE的ASD最大径与ASO型号相关良好(r=0.881、0.798、0.702),RT-3D-TEE测量面积与ASO型号相关性系数为0.912,最大径的相关性RT-3D-TEE测量的最高,同时运用RT-3D-TEE测量面积和ASO型号的相关性比此3种方法测量ASD最大径的相关性高。
62 patients with ASD were examined with the maximum diameters by transthoracic echocardiography （2D-TYE）, transesophageal echocardiography （2D-TEE）, and all of these patients were examined with the maxi- mum diameters and area by real-time 3-dimensional transesophageal echocardiography （RT-3 D-TEE）. The maximum diameters and area of ASD measured by each method were compared with the diameters and area of ASO repective- ly. 60 cases were enrolled for transcatheter closure of atrial septal defect （TCASD） successfully, and no residual shunt was found immediately after the procedure, 1 transferred for surgery because of the diagnosis with multiple atri- al septal defects by the real-time 3D transesophageal echocardiography, 1 transfefred for surgery because of its ab- sent rim of superior vena cava. There were correlations between diameters of ASO and sizes of ASD measured by 3D-TEE,2D-TEE,2D-TTE（r = 0. 881,0. 798,0. 702）. The correlations between area of ASD and sizes of ASO measured by 3D-TEE is 0.912, the correlation of diameter by RT-3D-TEE was highest. Meanwhile, the correlations of area by 3D-TEE is higher than the correlations of diameter by these three methods.
出处
《安徽医科大学学报》
CAS
北大核心
2016年第5期759-761,共3页
Acta Universitatis Medicinalis Anhui
基金
安徽省自然科学基金(编号:1508085MH145)
关键词
经食道实时三维超声心动图
房间隔缺损
封堵术
real-time 3D transesophageal echocardiography
atrial septal defect
transcatheter closure
