经胸超声和X线在动脉导管未闭介入治疗封堵器选择中的价值研究

樊文峰; 张源祥; 何小梅; 赵丽娜; 王玲; 张立建; 张密林; 王震; 管霄

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中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (9) : 617-618.

论著

经胸超声和X线在动脉导管未闭介入治疗封堵器选择中的价值研究

樊文峰，张源祥，何小梅，赵丽娜，王玲，张立建，张密林，王震，管霄

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Study on value of choosing occluder by transthoracic echocardiography and X-ray in transcather closure of patent ductus arteriosus

FAN Wen-feng, ZHANG Yuan-xiang, HE Xiao-mei, ZHAO Li-na, WANG Ling,
ZHANG Li-jian, ZHANG Mi-lin, WANG Zhen, GUAN Xiao

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摘要

目的：通过经胸超声心动图（TTE）和X线对动脉导管未闭（PDA）术前缺损和术后封堵器的测量，判定二者的应用价值，进一步指导封堵器的选择。方法：132例PDA患者术前均经过TTE和X线动脉造影测量动脉导管，术后同样用二种方法对封堵器进行测量，并以术前导管最窄径和术后封堵器腰径分别与封堵器型号相比较，判定二者的相关性。结果：①术前对于动脉导管未闭最窄径的测量，TTE与X线测量显著相关（ｒ＝0.82，P<0.001）。术后TTE与X线测量封堵器腰径相关良好（ｒ＝0.79，P<0.001）。②封堵器型号与术前TTE及X线测量导管最窄径线性回归方程分别为Y＝1.35X1＋2.20（t＝11.90，P<0.05），Y=1.49X2＋2.66（t＝14.87，P<0.05）；封堵器型号与术后TTE及X线测量封堵器腰径线性回归方程分别为Y=0.92X3+4.01（t＝10.5，P<0.05），Y=1.30X4+2.02（t=15.08，P<0.05）。结论：TTE和X线在PDA封堵器选择中均具有重要价值，X线较优于TTE测量。

Abstract

Objective: Assessment of both transthoracic echocardiography(TTE) and X-ray measuring ductus arteriosus pre-occlusion and the occluders after operation, in order to direct choice of occluder. Methods: All 132 cases of patent ductus arteriosus(PDA) had been measured by TTE and X-ray before operation, and all the occluders had been measured after operation with the same ways. Comparing the best narrow diameter of PDA, the diameter of occluder’s waist with the size of the occluder. Evaluating correlation of the two methods, which TTE and X-ray measured pre-occlusion and after operation. Results: ①There was significant correlation about the best narrow diameter measure of PDA with TTE and X-ray before closure(r=0.82, P<0.05), and did so after closure(r=0.79, P<0.05). ②The equations of linear regression about the size of the occluder compared with the best narrow diameter of PDA pre-occlusion by TTE and X-ray: Y＝1.35X1＋2.20（t＝11.90, P<0.05）, Y=1.49X2＋2.66（t＝14.87, P<0.05）; the equations of linear regression about the size of the occluder compared with the diameter of the occluder’s waist after closure by TTE and X-ray: Y=0.92X3+4.01(t＝10.5, P<0.05), Y=1.30X4+2.02(t=15.08, P<0.05). Conclusion: Both TTE and X-ray played an important role in choosing occluder of PDA, but X-ray was superior to TTE.

导出引用

樊文峰;张源祥;何小梅;赵丽娜;王玲;张立建;张密林;王震;管霄. 经胸超声和X线在动脉导管未闭介入治疗封堵器选择中的价值研究[J]. 中国临床医学影像杂志. 2007, 18(9): 617-618

FAN Wen-feng;ZHANG Yuan-xiang;HE Xiao-mei;ZHAO Li-na;WANG Ling;ZHANG Li-jian;ZHANG Mi-lin;WANG Zhen;GUAN Xiao. Study on value of choosing occluder by transthoracic echocardiography and X-ray in transcather closure of patent ductus arteriosus[J]. Journal of China Clinic Medical Imaging. 2007, 18(9): 617-618

中图分类号： Ｒ541.1 Ｒ540.45 Ｒ814.43