摘要
目的：探讨超声心动图在心内膜垫缺损（ECD）分型中的诊断价值及应用。方法：回顾性分析我院172例经超声诊断为ECD患者的超声心动图特征及临床资料。结果：在172例ECD患者中，完全型89例占51.7%（其中A型58例，B型7例，C型24例），中间型5例占2.9%，过渡型8例占4.7%，部分型70例占40.7%。瓣叶发育不良及瓣叶裂（106例占61.6%）为ECD患者最常合并的心内伴发畸形，其次为继发孔型房间隔缺损（44例占25.5%）。复杂心内畸形多发生于完全型ECD。23例手术患者术中分型与术前超声分型一致。结论：超声心动图对ECD的分型及合并畸形可以做出准确诊断，为临床制定合适手术方案提供可靠的参考依据。
Abstract
Objective: To observe the diagnostic significance and application value of echocardiography in detecting endocardial cushion defect(ECD). Methods: We performed a retrospective review of 172 patients with ECD diagnosed by echocardiography in our hospital, and their echocardiographic characters and clinic datas were studied. Results: Among all 172 cases of ECD, 89 cases(51.7%) were with complete type: type A occurred in 58 cases, type B in 7 cases and type C in 24 cases. Five cases(2.9%) were with intermediate type, 8 cases(4.7%) were with transitional type and 70 cases(40.7%) were with partial type. Valve hypoplasia and valve cleft(106 cases, 61.6%) were the most common accompanied endocardial malformations in patients with ECD, the second was secundum atrial septal defect(44 cases, 25.5%). While the complicated endocardial malformations were seen more often in complete type. Twenty-three cases were confirmed by surgery. Conclusion: Echocardiography can make accurate diagnosis about the classification of endocardial cushion defect and the associated abnormalities, and provide comprehensive reference information for making operation strategies.
关键词
心内膜垫缺损 /
超声心动描记术 /
多普勒 /
彩色
Key words
Endocardial cushion defects /
Echocardiography /
Doppler /
color
吴 丹;任卫东;肖杨杰;王 超;宋 光;徐 敏.
超声心动图在心内膜垫缺损分型中的诊断价值及应用[J]. 中国临床医学影像杂志. 2015, 26(6): 395-399
WU Dan;REN Wei-dong;XIAO Yang-jie;WANG Chao;SONG Guang;XU Min.
Application and diagnostic value of echocardiography in classification of endocardial cushion defect[J]. Journal of China Clinic Medical Imaging. 2015, 26(6): 395-399
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