实时三维经食管超声心动图的临床应用研究  

Clinical application of real time three dimensional transesophageal echocardiography

作　　者：陈欧迪[1] 王浩 江勇[1] 段福建[1] 叶赞凯[1] 王志民[1] 王燕[1] 崔琪琼[1] 吕秀章[1] 李建蓉[1] 

机构地区：[1]中国医学科学院北京协和医学院心血管病研究所阜外心血管病医院超声科,北京100037

出　　处：《中华超声影像学杂志》2008年第5期385-388,共4页Chinese Journal of Ultrasonography

摘　　要：目的 探讨实时三维经食管超声心动图临床应用的可行性及价值。方法应用实时三维经食管超声心动图对59例不同类型心脏病患者进行检查或术中监测，其中心律失常20例，瓣膜病变24例，先天性心脏病12例，主动脉夹层2例，不明原因肺动脉高压1例。结果所有患者均成功完成实时三维经食管超声心动图检查或术中监测，能清晰显示正常心内结构及病变的三维图像，成像质量好，分辨力高。结论实时三维经食管超声心动图安全可靠，可用于经胸声窗不佳者及术中监测，补充经胸实时三维超声的不足，在术中应用时不干扰手术野及手术进程，具有良好的临床应用价值。Objective To investigate the feasibility and clinical application of real-time threedimensional transesophageal echocardiography （RT3D-TEE）. Methods Fifty-nine patients with various heart diseases were examined or monitored by RT3D-TEE. Among them,20 patients with different kinds of arrhythmias,24 patients with valvular heart diseases, 12 patients with congenital heart diseases,2 patients with aortic dissection, 1 with unexplained pulmonary hypertension. Results RT3D-TEE was performed successfully in all the patients with good image quality and the normal tissues as well as diseased cardiac structures were distinctly displayed. Conclusions RT3D-TEE is a safe and reliable new technique which can be applied in the patients with poor acoustic window and may be a powerful tool in the intraoperative monitoring. RT3D-TEE is also an important supplement to real time three dimensional transthoracic echocardiography and makes it possible for the first time to monitor the cardiac operation with RT3D-TEE without interrupting the operation procedure.

关 键 词：超声心动描记术 实时三维 超声心动描记术 经食管 心脏病 

分 类 号：R686[医药卫生—骨科学]