【摘要】 目的探讨二维多普勒超声(2D-CDFI)诊断完全性肺静脉异位引流(TAPVC)的价值。方法回顾分析经手术或CT证实的32例TAPVC患者2D-CDFI资料。结果 32例TAPVC患者术前2D-CDFI正确诊断29例(90.6%),提示性诊断2例(6.3%),漏诊1例(3.1%),正确诊断和提示诊断率达96.9%;其中心上型14例,心内型12例,心下型2例,混合型4例。结论 2D-CDFI对TAPVC诊断具有极高的临床价值,并可准确予以分型及定量评估肺动脉高压程度,对外科手术时机和方式的选择具有重要意义。更多还原

【Abstract】 Objective To explore the value of Two-dimensional Color Doppler Flow Imaging(2D-CDFD in detecting Total Anomalous Pulmonary Venous Conection(TAPVC).Methods 2D-CDFI data of 32 patients with TAPVC proved by operations or CT were analyzed retrospectively.Results 29(90.6%) TAPVC patients were diagnosed definitely with 2D-CDFI,2(6.3%) TAPVC were suspected,while 1(3.1%) TAPVC was missed.The total ratio of the former two cases was 96.9%.Of the 31 patients with TAPVC,supracardiac type was in 14 patients,cardiac in 12,infracardiac in 2 and mixed in 4.Conclusions 2D-CDFI has important clinic value in detecting TAPVC and typing TAPVC exactly and assess pulmonary arterial pressure quantitively,it plays an important role in selecting an optimal operation strategy.更多还原