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超声心动图评价Ebstein 畸形术前和术后心脏及瓣膜功能的研究(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第6期
页码:
440-441
栏目:
论著
出版日期:
2001-11-01

文章信息/Info

Title:
A study of cardiac and valvular function in Pre and post operation of Ebstein’s anomaly assessed by echocardiography
作者:
周晓东1;  李　军1;  曹渝荣2;  汪　娜3;  田　雪1;  张　军1;  钱蕴秋1
1. 第四军医大学西京医院超声科, 陕西西安710032; 2. 河南新乡市第二人民医院超声科; 3. 北京空军医学特诊科
Author(s):
ZHOU Xiao-dong1; LI Jun1;  CAO Yu-rong2;  TIAN Xue1;  ZHANG Jun1; QIAN Yun-giu1
1.Ultrasound Department of Xijing Hospital, Fourth Military Medical University, Xi’an Shaanxi 710032, China; 2.Department of Ultrasound, Xinxiang second people Hospital, He’nan, China; 3. Department of Special diagnosis,Aorforce Hospital,Beijing
关键词:
超声心动描记术;  多普勒;  畸形;  Ebstein;  心脏功能;  瓣膜功能
Keywords:
echocardiography; Doppler;  anomaly abnormalities;  Ebstein;  cardiac function;  valvular function
分类号:
R540.45
DOI:
-
文献标识码:
A
摘要:
目的 超声心动图评价Ebstain’s 畸形术前、术后心脏及瓣膜功能。方法 我们对1987 年～ 1999 年超声心动图 检查经手术证实的39 例三尖瓣下移畸形患者进行了回顾性研究。成人31 例(年龄19～ 47 岁) ; 儿童8 例(年龄7～15 岁)。所有病例均并发房间隔缺损或室间隔缺损。结果 彩色多普勒血流成象显示术前三尖瓣返流(TR) 2～ 3 级,术后TR 明显减轻至1～ 2 级; 60%患者的功能右室与房化右室的比例得到改善, 多数患者右室功能明显改善。结论 右心功能和房化右室腔的大小代表该病的严重程度, 彩色多普勒超声心动图可显示心脏形态并提供更多的血 流动力学信息, 它可作为判定Ebstain’s 畸形手术成功的标准。
Abstract:
AIM To assess cardiac and valvular function in pre and post operation of Ebstein’s anomaly by echocardiography. METHODS In thirty-nine patients, 31 adults (19～ 47 years) and 8 children (7～ 15 years) , operated between 1987 and 1999 echocardiography was performed pre and post repair and at follow-up. All patients had additional congenital cardiac defects (ASD,VSD). RESULTS Color Doppler flow imaging revealed a severe preoperative tricuspid regurgitation (TR, grade 2 to 3). Postoperatively TR was significantly reduced to grade 1 to 2. 60% of the patients demonstrated an improvement in the ratio of atrialized chamber to functional right ventricle, and right-ventricular function was improved in most patients. CONCLUSION The severity of the disease is represented by the size and function of the right ventricle and the at rialized chamber, color Doppler echocardiography should display the morphology and also provide some hemodynamic information, echocardiographically we were able to identify significant characteristics for the successful repair of Ebstein’s anomaly.

参考文献/References

[1] 朱性威. 三尖瓣下移畸形的病理特征与超声诊断[J]. 广西医科大学学报, 1994, 11 (3) : 356- 345.

[2] Augusin N , Schmidt HP, Wottke M , et al. Results after surgical repair of Ebstein’s anomaly[J]. Ann Thorac Surg , 1997, 63(6) : 1650- 1656.

[3] 王丽丽, 杨爱萍. 二维彩色多普勒对三尖瓣下移的诊断[J]. 长治医学院学报, 1999, 13 (1) : 53- 54.

[4] 黄新胜, 邓法权, 候耀双, 等. 三尖瓣下移畸形超声心动图特征研究. 中国超声医学杂志, 1995, 11 (1) : 5- 7.

[5] Augusin N , Schreiber C,Wottke M , et al. Ebstein’s anomaly:When should a patient have operative treatment? [J] Herz ,1998, 23 (5) : 287- 292.

[6] Kupilik N , Simon P, Moidl R, et al. Valve-preserving treatment of Ebstein’s anomally:Perioperative and follow -up results[J]. Thorac Cardiovasc Surg , 1999, 47 (4) : 22- 34.

备注/Memo

备注/Memo:
收稿日期：2001-01-20.
更新日期/Last Update: 2001-11-01