超声心动图对川崎病冠状动脉病变的诊断价值——与多层螺旋CT的对比分析  

Diagnostic value of echocardiography on Kawasaki disease with coronary artery lesions and comparison with multislice spiral CT

作　　者：邹鹏[1] 喻晓娜[1] 杨军[1] 侯阳[1] 栾朝霞[1] 姜克新[1] 韩冰[1] 张颖[1] 刘守君[1] 

机构地区：[1]中国医科大学附属盛京医院,辽宁沈阳110004

出　　处：《中国临床医学影像杂志》2009年第9期697-700,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨超声心动图对川崎病冠状动脉病变的诊断价值并与多层螺旋CT对冠状动脉病变的诊断进行比较。材料和方法:回顾性分析川崎病394例,所有患儿均行超声心动图检查,其中53例同时行多层螺旋CT检查,将其结果与超声心动图的检查结果进行比较。结果:在冠状动脉扩张的病例中,左冠状动脉较右冠状动脉受累更常见。在冠状动脉瘤的病例中,绝大部分为多发性病变,左主干及左前降支是最易出现动脉瘤的部位。两种检查技术对冠状动脉病变的检出率是一致的。结论:超声心动图可对川崎病的冠状动脉病变做出快速而准确的诊断,但是对远段病变和狭窄性病变的显示效果不如多层螺旋CT。二者应相互结合,以提高诊断价值。Objective： To explore the diagnostic value of echocardiography on Kawasaki disease with coronary artery lesions and compare with multislice spiral CT. Materials and Methods： The date of three hundred and ninty-four patients with Kawasaki disease were analyzed retrospectively. They were examined with echocardiography, in which 53 patients were exam- ined with muhislice spiral CT and their results were compared. Results： In the patients with coronary artery lesions, the left coronary artery were more frequently involved than the right coronary artery. In the patients with coronary artery aneurysm, most of the aneurysms were multiple and left main coronary artery and left anterior descending artery were frequently involved. Both techniques coincided with the detection of coronary artery lesions. Conclusion： Echocardiography can make fast and accurate diagnosis on coronary artery lesions with Kawasaki disease, but less sensitive than muhislice spiral CT on the distal lesions and stenosis. Both techniques should be combined to improve diagnosis.

关 键 词：粘膜皮肤淋巴结综合征 超声心动描记术 多普勒 彩色 体层摄影术 螺旋计算机 

分 类 号：R543.3[医药卫生—心血管疾病] R540.45[医药卫生—内科学]