摘要
目的：评价多普勒超声心动图对先天性肺静脉狭窄（PVS）的诊断价值。方法：回顾性分析15例经心导管、MRI检查或心外科手术证实为先天性PVS患者的超声心动图资料。结果：15例患者中右侧PVS 6例，超声诊断4例，诊断正确率为66.7%，漏诊2例，漏诊率为33.3%；左侧PVS 4例，超声诊断4例，正确率为100％；双侧PVS 5例，超声诊断4例，诊断正确率80％，1例患者左侧PVS漏诊。15例中单纯PVS 4例，占26.7%；其余11例均合并有其它心血管畸形，最常见的有房间隔缺损、室间隔缺损、动脉导管未闭、完全性房室间隔缺损、右室双出口等畸形。结论：彩色多普勒超声心动图可清晰显示肺静脉的回流情况，能较准确的诊断PVS。
Abstract
Objective: To evaluate the diagnostic value for congenital pulmonary vein stenosis(PVS) by Doppler echocardiography. Methods: The echocardiography of 15 patients with PVS confirmed by catheterization, MRI or surgical operation were reviewed retrospectivey. Results: Among 15 PVS patients, six had right pulmonary vein stenosis, in whom 4 patients(66.7%) were diagnosed correctly by echocardiography, 2 patients(33.3%) were missed. Four patients had left pulmonary vein stenosis, all patients were diagnosed correctly. Five patients had bilateral pulmonary vein stenosis, four patients(80%) were diagnosed correctly and one patient with left pulmonary vein stenosis was missed. Four patients(26.7%) were simplex PVS, eleven patients(73.3%) were found to accompany with other cardiovascular anomalies. The most common associated anomalies were atrial septal defect, ventricular septal defect, patent ductus arteriosus, complete atrioventricular septal defect, double outlet of right ventricle. Conclusion: The reflux of pulmonary vein could be demonstrated and PVS could be diagnosed accurately by Doppler echocardiography.
关键词
心血管畸形 /
肺静脉闭塞性疾病 /
超声心动描记术 /
多普勒 /
彩色
Key words
Cardiovascular abnormalities /
Pulmonary veno-occlusive disease /
Echocardiography /
Doppler /
color
张志芳;张玉奇;孙 锟;刘怡青;沈 蓉.
先天性肺静脉狭窄的多普勒超声心动图诊断[J]. 中国临床医学影像杂志. 2009, 20(4): 247-249
ZHANG Zhi-fang;ZHANG Yu-qi;SUN Kun;LIU Yi-qing;SHEN Rong.
The diagnosis of congenital pulmonary vein stenosis by Doppler echocardiography[J]. Journal of China Clinic Medical Imaging. 2009, 20(4): 247-249
中图分类号：
Ｒ541.1
Ｒ543.2
Ｒ540.45
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