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|本期目录/Table of Contents|

超声测量卵圆孔未闭直径与球囊伸展径的比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2015年第4期
页码:
394-396
栏目:
结构性心脏病
出版日期:
2015-04-20

文章信息/Info

Title:
Correlation between patent foramen ovale size measured by echocardiography and balloon stretched diameter
作者:
王星烨; 成革胜; 张玉顺; 何 璐; 杜亚娟
(西安交通大学第一附属医院心内二科，陕西 西安 710061)
Author(s):
WANG Xing-ye;  CHENG Ge-sheng;  ZHANG Yu-shun;  HE Lu;  DU Ya-juan
(Second Department of Cardiology, First Affiliated Hospital, Medical College of Xi’an Jiaotong University, Xi’an 710061, Shaanxi, China)
关键词:
卵圆孔未闭; 介入治疗; 超声心动图
Keywords:
patent foramen ovale;  interventional treatments;  echocardiography
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的 比较卵圆孔未闭（PFO）大小的判断方法。方法 47例PFO患者，年龄9~68（42±17）岁。经食管超声心动图（TEE）测量大小，经胸超声心动图声学造影（cTTE）测量右向左分流量（RLS）及球囊导管测量PFO伸展径（BSD）。结果 cTTE静息状态下PFO无RLS组TEE测量PFO大小为（3±1）mm，有RLS的大小为（5±1）mm，有RLS组PFO直径明显大于无RLS组（P<0.01）。TEE 测量PFO最大径为（4±1）mm，球囊测量伸展径为（9±4）mm，伸展径明显大于TEE最大径（P<0.01），两者显著相关（r=0.98，P<0.01）。简单型PFO的TEE测量最大径，与球囊测量伸展径非常接近，相关程度更好，复杂型PFO的TEE测量值明显小于BSD，相关程度较低。结论 cTTE静息状态下RLS分流量越多，PFO的TEE裂隙越大；TEE测量PFO最大径明显小于其伸展径；TEE结合cTTE静息有无RLS有助于判断大型PFO。
Abstract:
AIM To explore the method to determine the size of patent foramen ovale (PFO). METHODS Forty-seven patients, at the age of 9 to 68 years (42±17 years), were included in this study. The PFO size was measured by transesophageal echocardiography (TEE) and the correlation between the volume of right-to-left shunt (RLS) by transthoracic echocardiography (cTTE) and the balloon stretched diameter (BSD) for PFO was investigated. RESULTS In the resting state, the PFO diameters measured by TEE were 3±1mm for patients without PFO-RLS and (5±1) mm for patients with PFO-RLS. cTTE measurement showed that in the resting state the PFO size of patients with RLS was larger than that of patients without RLS (P<0.01). The maximum sizes of PFO measured by TEE were (4±1) mm and the balloon stretched diameters were (9±4) mm. The BSD was significantly related to the maximum size of PFO measured by TEE (r=0.98, P<0.01) and was much larger than the measured maximum size of PFO measured by TEE (P<0.01). In patients with simple PFO, there was a tiny difference between the maximum size of PFO measured by TEE and the BSD, indicating a higher correlation between them. In patients with complex PFO, the value measured by TEE was significantly smaller than the BSD, where a lower correlation was indicated. CONCLUSION The more the volume of RLS is in the resting state, the larger the PFO size measured by TEE and the BSD are. The maximum size of PFO measured by TEE is significantly smaller than the BSD. The maximum size of PFO measured by TEE, together with cTTE measurements of RLS, is beneficial to the determination of large PFO.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2015-03-13.
基金项目：陕西省科技统筹创新工程计划项目资助（2014KTCL03-11）
通讯作者：张玉顺，教授，主要从事先天性心脏病介入治疗研究 Email：zys2889@sina.com
作者简介：王星烨，主治医师，硕士 Email：wangxingye_sea@163.com
更新日期/Last Update: 2015-04-22