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|本期目录/Table of Contents|

卵圆孔未闭患者标准化右心声学造影与传统方法的比较

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2018年第5期
页码:
571-574
栏目:
临床研究
出版日期:
2018-06-25

文章信息/Info

Title:
A comparison of standardized and traditional methods of contrast echocardiography of the right portion of the heart in patients with a patent foramen ovale
作者:
罗晓惠; 杜亚娟; 张玉顺
（西安交通大学第一附属医院结构心脏病科,陕西 西安710061）
Author(s):
LUO Xiao-hui;  DU Ya-juan;  ZHANG Yu-shun
(Department of Structural Heart Disease, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi, China)
关键词:
右心声学造影; Valsalva动作;  右向左分流; 卵圆孔未闭
Keywords:
contrast echocardiography of the right portion of the heart;  Valsalva maneuver;  right-to-left shunt;  patent foramen ovale
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的 比较标准化右心声学造影与传统的右心声学造影检测卵圆孔未闭右向左分流的敏感性及特异性。方法 选取临床怀疑有右向左分流者500例，随机采用标准化右心声学造影方法和传统的右心声学造影方法进行右心声学造影检查，以经食管超声或术中造影证实的卵圆孔未闭为金标准，比较两种右心声学造影方法对卵圆孔未闭患者诊断的敏感性和特异性。结果 500例患者经食管超声及术中证实共有卵圆孔未闭患者278例。标准化右心声学造影检测卵圆孔未闭的灵敏度(92.8%)和准确度(95.2%)显著高于传统的右心声学造影（分别84.2%和89.8%，均P<0.01），两种方法对卵圆孔未闭患者诊断的特异度无显著差别（98.2% vs. 96.8%）。结论 标准化右心声学造影的灵敏度和准确度高于传统右心声学造影。
Abstract:
AIM To compare sensitivity and specificity of standardized and traditional methods of contrast echocardiography of the right portion of the heart in patients with patent foramen ovale. METHODSThe study population consisted of 500 patients with high clinical suspicion of patent foramen ovale. Standardized or traditional methods of contrast echocardiography of the right portion of the heart were performed randomly. Contrast transesophageal echocardiography (TEE) or intraoperative angiography was regarded as the gold standard. Comparision was performed of sensitivity and specificity of the two methods. RESULTSAmong 500 patients, a total of 278 patients with patent foramen ovale were confirmed by transesophageal and intraoperative ultrasound. This correlated to a sensitivity of 92.8% and precision of 95.2%. Standard contrast echocardiography of the right portion of the heart was significantly higher than that of traditional methods (84.2% vs. 89.8%, P<0.01). However, there was no significant difference in specificity of the two methods for the diagnosis of oval foramen patients (98.2% vs. 96.8%). CONCLUSIONThe sensitivity and precision of standardized contrast echocardiography in the right portion of the heart appears to be higher than that of traditional methods.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2018-03-14.通讯作者：张玉顺，教授，主要从事结构性心脏病研究 Email:zys2889@sina.com 作者简介：罗晓惠，主管护师 Email：1464817206@qq.com
更新日期/Last Update: 1900-01-01