小儿肺动脉异常起源的超声诊断研究  

Echocardiographic Diagnosis of Anomalous Origin of the Pulmonary Artery in Children

作　　者：郁怡[1] 倪金洪[1] 高玲玲[1] 吴力军[1] 孙锟[1] 陈树宝[1] 

机构地区：[1]上海交通大学医学院附属新华医院超声中心,上海市200092

出　　处：《中国超声医学杂志》2009年第7期700-703,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨彩色多普勒超声心动图诊断小儿肺动脉异常起源的价值。 方法收集我院明确诊断为肺动脉异常起源的10例患者资料。分析所有患者的经胸超声心动图表现，并将其与心血管造影和手术结果进行对比。 结果10例患者中，右肺动脉异常起源于升主动脉6例，左肺动脉异常起源于升主动脉2例，左肺动脉缺如2例。其超声心动图表现为：肺动脉主干远端均无分叉结构显示，肺动脉主干与左（右）肺动脉延续，而另1支为盲端。（1）如在升主动脉近端或无名动脉处见到右（左）肺动脉．则为右（左）肺动脉异常起源于升主动脉；（2）如综合各切面始终无法找到另一侧肺动脉，则为右（左）肺动脉缺如。 结论超卢心动图检查可早期诊断肺动脉起源异常，为临床诊断和治疗该病提供丰富的信息。Objective To evaluate the value of color Doppler flow mapping in diagnosing anomalous origin of the pulmonary artery. Methods A total of 10 cases of anomalous origin of the pulmonary artery hospitalized were reviewed retrospectively. Compared with cardiac catheterization and surgical repair, the echocardiographic features were analysed in all patients. Results There were ten anomalous origin of the pulmonary artery in patients. Six cases were anomalous origin of right pulmonary artery from ascending aorta, two cases were anomalous origin of left pulmonary artery from ascending aorta, and the other two cases with absence of left pulmonary artery had also been diagnosed. The characteristics of 2-D echocardiogram findings included： absence of the usual main pulmonary artery bifurcation pattern, the main pulmonary artery continuing with the left （right） pulmonary artery and absence of the controlateral pulmonary branch. （1） If the right （left） pulmonary artery originated on the ascending aorta near the aortic valve or near the base of the innomainate artery, they were diagnosed anomalous origin of the right （left） pulmonary artery from the ascending aorta. （2） If the pulmonary artery could not be found by echocardiography , they were diagnosed absence of right （left） pulmonary artery. Conclusions Echocardiography diagnoses the anomalous origin of the pulmonary artery, which provides aboundant information for the diagnosis and treatment.

关 键 词：肺动脉 异常起源 超声心动图 

分 类 号：R725.435[医药卫生—儿科] R445.1[医药卫生—临床医学]