先天性主肺动脉间隔缺损的超声诊断  

Ultrasound Diagnosis of Congenital Aorticopulmonary Septal Defect

作　　者：徐亚丽[1] 高云华[1] 夏红梅[1] 杨成业[1] 王冬 刘政[1] 钱频[1] 

机构地区：[1]解放军第三军医大学新桥医院超声诊断科,重庆市400037

出　　处：《中国超声医学杂志》2007年第3期230-232,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的回顾性分析超声心动图对10例主肺动脉间隔缺损(APSD)的诊断价值。方法运用二维及多普勒超声多切面观察APSD的大小、部位、分型、血流动力学改变、肺动脉高压的程度及有无合并其他畸形。结果10例患者中8例经手术证实为APSD,超声确诊8例,1例误诊为动脉导管未闭,1例漏诊。合并畸形有动脉导管未闭、主动脉瓣下膜样狭窄、主动脉缩窄、室间隔缺损及肺动脉瓣狭窄等。结论APSD易漏诊或误诊,仔细分析声像图仍能做出正确诊断,超声在APSD的诊断与鉴别诊断中具有重要价值。Objective To find out the value and experience of ultrasound on aorticopulmonary septal defect （APSD） . Methods 2-D, CDFI and PW （CW） were applied with Sequioa 512, HP 5500 and GE Vivid 7 ultrasound system. The size, location, typing, hemodynamic changes of APSD and other combining abnormities were reviewed. Results In 10 patients, 8 patients who were correctly diagnosed on ultrasound, 1 of the 10 was misdiagnosed as PDA and 1 was missed. VSD, coarctation of the aorta and （or） PDA were the combinations of APSD. Conclusions Ultrasound is highly valuable and important in the diagnosis and differential diagnosis of APSD.

关 键 词：超声心动图 主肺动脉间隔缺损 超声诊断 APSD 

分 类 号：R541.1[医药卫生—心血管疾病]