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多平面经食管超声心动图探查方法和基本切面的研究

Multiplane Transesophageal Echocardiography:Acquisition Techniques and Basic Cross Sections

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【作者】 张运张梅张薇姚桂华钟明朱式娟季晓平胡燕燕钟敬泉范觉新

【Author】 Zhang Yun,et al. (Affiliated Hospital.Shandong Medical University)

【机构】 山东医科大学附属医院心内科

【摘要】 在190例患者中进行了多平面经食管超声心动图(TEE)探查方法和基本切面的临床研究,结果显示:(1)在13岁以上的患者中,多平面TEE检查具有高度的安全性和成功率;(2)采用探头撤退法、晶片旋转法、管体转动法和尖端扭曲法4种操作手法相结合的探查技术,可迅速获得诊断信息;(3)以解剖学标志作为定位基准,依次在胃底、胃食道交界、食道下段、食道中段、食道中。上段和食道上段6个水平,转动相控阵装置,探查0°、45°、90°和135°4个基本切面,可在绝大多数患者中显示心血管疾病的解剖学异常;(4)与单平面和双平面TEE相比,多平面TEE具有学习曲线短、图像易于解释、探头操作和患者不适少等优点,值得进一步推广应用。

【Abstract】 To study the acquisition techniques and standardize the cross sections of multiplane trans-esophageal echocardiography(TEE),multiplane TEE was performed in 190 cases with various heart dis-eascs. The result showed that:1.multiplane TEE can be successfully performed in all cases aged 13 yrs.or more;2.the examination is greatly facilitated by using four maneuvers in combination:scope advancement and withdrawal,array rotation,shaft rotation and tip flexion;3.pathological anatomy in the majority of cases was clearly visualized by rotating phased array to 0°,45°,90°and 135°with the probe tip at different esophageal depths using intracardiac anatomical characteristics as locat ion markers.It is concluded t hat multiplane TEE is of the advantages of short learning-curves easy image explanation,limited probe operation and red uced pat ient dis-comfort,and therefore,is superior to monoplane and biplane TEE.

  • 【文献出处】 中国超声医学杂志 ,CHINESE JOURNAL OF ULTRASOUND IN MEDICINE , 编辑部邮箱 ,1994年05期
  • 【分类号】R540.45
  • 【被引频次】20
  • 【下载频次】62
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