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三尖瓣下移畸形的超声诊断

Echocardiographic value for the diagnosis in Ebstein’s abnomaly

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【作者】 李虹马小静张丹青林云王静静

【Author】 LI Hong, MA Xiao-jing,ZHANG Dan-qing,et al.(Dept. ultrosound, Economic And Technological Development Zone,Shen Long Hospital,Wuhan, 430056 China)

【机构】 武汉汉阳经济技术开发区神龙医院功能科武汉亚洲心脏病医院超声中心武汉亚洲心脏病医院超声中心 湖北武汉430056湖北武汉430056湖北武汉430056

【摘要】 目的:提高超声对三尖瓣下移畸形的诊断能力。方法:观察45例三尖瓣下移畸形的超声心动图和经胸超声特征,并与手术结果进行对照。结果:45例中,三尖瓣隔瓣、后瓣同时下移33例,仅三尖瓣后瓣下移7例,仅三尖瓣隔瓣下移4例,三尖瓣隔瓣、后瓣、前瓣同时下移仅一例。其中心外科手术治疗34例,误诊1例,漏诊2例,手术证实超声诊断综合符合率为91%。结论:超声诊断三尖瓣下移畸形准确、简便、无创。

【Abstract】 Objective To improve the echocardiographic diagnostic ability in ebstein’s anomaly.Methods To observe and analyze the characters of the transthoracic echocardiography in 45 patients who were diagnosed to have ECD.Results Among the 45 cases,33 cases were diagnosed as Ebstein’s abnomaly with displacement of septal and inferior leaflets;7 cases with displacement of inferior leaflet;4 cases with displacement of septal leaflet and only 1 case with displacement of all the leaflets;34 cases were comfirmed by surgery with 1 cases being misdiagnosed and 2 being unidentified, and the accuracy of echocardiography for diagnosis was 91%.Conclusions Echocardiography is a reliable,convenient and non-invasive examination method in the diagnosis of Ebstein’s abnomaly.

【关键词】 三尖瓣下移畸形超声心动图
【Key words】 echocardiographyEbstein’ s abnomaly
  • 【文献出处】 郧阳医学院学报 ,Journal of Yunyang Medical College , 编辑部邮箱 ,2005年03期
  • 【分类号】R541.1
  • 【被引频次】1
  • 【下载频次】79
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