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彩色多普勒超声心动图对室间隔缺损并发畸形的诊断价值(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第6期
页码:
450-451,454
栏目:
论著
出版日期:
2000-12-01

文章信息/Info

Title:
Value of diagnosis of anomalies accompanied with ventricular septal defect by using echocardiography and color Doppler flow imaging
作者:
张　军;  李　军;  钱蕴秋;  徐　晖;  王晓敏
第四军医大学西京医院超声诊断科, 陕西西安710032
Author(s):
ZHANG Jun;  LI Jun;  QIAN Yun-qiu;  XU Hui;  WANG Xiao-min
Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi 710032, China
关键词:
超声心动描记术;  超声心动描记术;  多普勒;  室间隔缺损;  并发畸形
Keywords:
echocardiography; echocardiography;  Doppler;  heart septal defect;  ventricular
分类号:
R540.45;R541.1
DOI:
-
文献标识码:
A
摘要:
目的 探讨超声心动图检测室间隔缺损 (室缺 )并发畸形的价值。方法 将手术证实的室缺并发畸形与超声检查进行比较 ,分析超声检测敏感度、特异度及准确度。结果 超声心动图检出室缺并发畸形的敏感度为 5 8.8% ,特异度 92 .9% ;准确度 80 .6 %。结论 室缺并发卵圆孔未闭及并发右室流出道较易漏诊 ,其他一些少见并发畸形多因主观忽视而漏诊。注意全面扫查及改善检查技巧有助于提高室缺并发畸形的检出和减少误诊。
Abstract:
AIM To probe into the echocardiographic value of detecting the anomalies accompanied with ventricular septal defect (VSD). METHODS Compared the anomalies accompanied with VSD detected by echocardiography and confirmed by operation, and analyzed echocardiographic sensitivity, specificity and accurate rate. RESULTS The sensitivity,specificity and accurate rate of detecting anomalies accompanied with VSD by echocardiography were 58.8%, 92.9% and 80.6% respectively. CONCLUSION Patent foramen ovale and right ventricular outflow tract stenosis accompanied with VSD are likely to be missed by echocardiography, and some other rare accompanied are missed often because of subjective neglect. Systematic scanning and scan technique improving would increase detection of anomalies accompanied with VSD and decrease missing of diagnosis.

参考文献/References

[1] 刘维永, 张仁福. 室间隔缺损[A ]. 见: 汪曾炜, 张宝仁. 手术学全集. 心血管外科卷[M ]. 北京: 人民军医出版社, 1995. 388～389.

[2] Harris JP. Congenital heart disease: an overview [A ]. Nanda NC. Doppler echocardiography [M ]. New York: IGAKU -SHOIN Medical Publishers Inc, 1985. 339～ 344.

[3] 张　运. 多普勒超声心动图学[M ]. 青岛: 青岛出版社, 1988.252～ 253.

备注/Memo

备注/Memo:
收稿日期：2000-01-07.
更新日期/Last Update: 2000-12-01