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室间隔缺损并发畸形的发生率和超声心动图检测的漏诊分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2001年第4期
页码:
266-268
栏目:
论著
出版日期:
2001-07-01

文章信息/Info

Title:
Incidence of anomalies accompanied by ventricular septal defect and analysis of misdiagnos is from echocardiography
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;  ZU 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;  室缺并发畸形;  发生率
Keywords:
echocardiography;  anomalies accompanied by ventricular septal defect;  incidence
分类号:
R540. 45; R541. 1　
DOI:
-
文献标识码:
A
摘要:
目的 探讨室间隔缺损并发畸形的发生率及超声心动图漏检并发畸形的原因。方法 对379 例非复杂性先心病室缺并发畸形的超声心动图检测结果与手术所见进行比较。结果 较常见的非复杂性先心病室缺并发畸形的发生率为36.0% , 为卵圆形未闭、房缺、动脉导管未闭、右室流出道狭窄、右室双腔心及肺动脉瓣狭窄。超声心动图比较容易漏诊的室缺并发畸形为卵圆孔未闭、右室流出道狭窄及一些少见并发畸形。结论 彩色多普勒超声心动图对室缺并发畸形具有一定的漏诊率, 注意全面扫查及改进探查技巧有助于提高室缺并发畸形的检出。
Abstract:
AIM To evaluate the incidence of anomalies accompanied by ventricular septal defect (VSD) and analyze the causes of misdiagnosis from echocardiography. METHODS Comparison was made between the accompained anomalies in 379 VSD patients with uncomplex congential heart disease detected by echocardiography and those found by surgery. RESULTS The incidence of anomalies accompanied with VSD was 36.0%; the common anomalies accompanied by VSD in uncomplex congenital heart disease were patent foramen ovale, atrial septal defect, patent ductus arteriosus, right ventricular outflow tract stenosis, double-chambered right ventricle and pulmonary valve stenosis. Patent foramen ovale, right ventricular outflow tract stenosis and some rare anomalies accompanied by VSD were likely to be missed by echocardiographic detection.CONCLUSION Color Doppler echocardiography has certain misdiagnosis rate for anomalies accompanied by VSD. To systematically scan and improve scanning technique might increase the detecting rate of the anomalies accompanied by VSD.

参考文献/References

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

[2] Harris JP. Comgenital 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.

[4] 张　军, 李　军, 钱蕴秋, 等. 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. 心脏杂志, 2000, 12(6): 450-451.

备注/Memo

备注/Memo:
收稿日期：2000-01-07.
更新日期/Last Update: 2001-07-01