摘要
目的观察床旁超声心动图结合高频超声诊断新生儿肺动脉瓣闭锁(PA)的价值。方法回顾性分析34例床旁超声心动图疑诊为PA的新生儿,结合高频超声综合评估肺动脉及右心室发育情况及其他先天性心脏发育畸形。结果34例疑诊PA新生儿中,结合高频超声诊断30例PA,其中1例漏斗部肥厚闭锁伴肺动脉瓣及主干发育不良,9例肺动脉瓣膜性闭锁,19例肺动脉瓣未发育,1例肺动脉瓣及主干缺如伴分支肺动脉异常起源;4例诊断为功能性PA;均合并心房水平分流及动脉导管未闭。结论床旁超声心动图检查结合高频超声对鉴别PA及其分型具有重要意义。
Objective To observe the value of bedside echocardiography combined with high-frequency ultrasound for diagnosis of neonatal pulmonary atresia(PA).Methods Data of 34 neonates with suspected PA detected with bedside echocardiography combining high-frequency ultrasound were retrospectively analyzed,and the development of pulmonary artery,right ventricle and other congenital heart development abnormalities were observed.Results Among 34 neonates,30 were diagnosed PA with bedside echocardiography combining high-frequency ultrasound,including 1 hypertrophic atresia of the funnel with dysplasia of the pulmonary valve and trunk,9 pulmonary valve-like atresia,19 pulmonary valve non-development and 1 absence pulmonary artery trunk with abnormal origin of pulmonary artery branch,whereas functional PA was diagnosed in 4 cases.All 30 cases complicated with horizontal shunt of atrium and patent ductus arteriosus.Conclusion Bedside echocardiography combined with high-frequency ultrasound was of great value in distinguishing and classification of PA.
作者
戴泽艺
陈泽坤
李玉娟
郑伟坤
李雅雅
吕国荣
陈晓康
DAI Zeyi;CHEN Zekun;LI Yujuan;ZHENG Weikun;LI Yaya;LYU Guorong;CHEN Xiaokang(Department of Ultrasonography,Xiamen Children's Hospital,Xiamen 361006,China;Xiamen Key Laboratory of Neonatal Diseases,Xiamen 361006,China;Department of Ultrasound,Maternal and Child Health Hospital of Xiamen Siming District,Xiamen 361009,China;Quanzhou Medical College Provincial Collaborative Innovation Center for Maternal and Infant Health Service Application Technology,Quanzhou 362000,China)
出处
《中国医学影像技术》
CSCD
北大核心
2021年第5期694-697,共4页
Chinese Journal of Medical Imaging Technology
基金
福建省卫生健康科研人才培养项目(2019-2-58)
厦门市儿童医院青年科研项目(CHP-2019-YRF-0019)
厦门市儿童医院“1125人才工程”培养计划[厦儿(2019)39号]。
