超声心动图对川崎病和正常儿童冠状动脉检测的对比研究  

Comparative study on coronary arteries of children with Kawasaki diseases and controls by echocardiography

作　　者：张世科[1] 葛艳[1] 黄美蓉[1] 

机构地区：[1]福建医科大学附属厦门第一医院心彩超室,361003

出　　处：《福建医药杂志》2007年第1期11-12,共2页Fujian Medical Journal

摘　　要：目的本文对81例川崎病患儿的冠状动脉与65例正常儿童的冠状动脉进行了超声检测的对比研究,旨在探讨超声对川崎病及临床非典型病例冠状动脉异常改变的诊断价值。方法对81例川崎病患儿和65例正常儿童的冠状动脉进行了超声检测对比。结果正常儿童的左冠状动脉内径（LCA）1.95-2.45 mm,平均2.2±0.25 mm,LCA/AO=0.145±0.016（AO为主动脉内径）;右冠状动脉内径（RCA）1.6-2.0 mm,平均1.8±0.18 mm,RCA/AO=0.12±0.016。而川崎病的左冠状动脉内径（LCA）2.5-6.7 mm,平均3.4±0.94 mm,LCA/AO=0.24±0.075;右冠状动脉内径（RCA）2.5-10 mm,平均3.8±1.68 mm,RCA/AO=0.25±0.094。两组对比差异有统计学意义（P〈0.01）。结论超声对川崎病冠状动脉病变的诊断是一项安全无创、快捷可靠和能重复检查的最佳首选方法,且对非典型病例的诊断有决定性意义。认为,L.RCA/AO〉0.17为冠状动脉扩张,L.RCA/AO〉0.30为冠状动脉瘤形成。Objective To evaluate the diagnostic value of echocardiography in children with typical and atypical Kawasaki diseases. Methods Eighty-one cases with Kawasaki diseases and sixty five normal children were examined with echocardiography. Results In control group, the inside dimensions of the left and right coronary artery were 2.2±0. 25 mm and 1.8± 0.18 mm, respectively. LCA/AO was 0. 145 4±0. 016 and RCA/AO was 0.12 ± 0. 016. But in Kawasaki diseases group, the above responding values were 3.4±0. 94 mm, 3.8±1.68 mm, 0.24±0. 075 and 0.25±0. 094, respectively. There was significant difference between two groups （P〈0. 01）. Conclusion Echocardiography was the first choice of diagnosis of typical and atypical Kawasaki diseases, which was safe, non-invasive, credible and repeatable. L. RCA/AO〉0.17 suggest dilation of me coronary artery and L. RCA/AO〉0.30 meant the formation of aneurysm of the coronary artery.

关 键 词：川崎病 冠状动脉 超声心动图 动脉瘤 

分 类 号：R725.4[医药卫生—儿科]