超声心动图在先天性心脏病术前诊断中地位的历史演变——9年回顾性研究  

HISTORICAL CHANGES OF ROLE OF ECHOCARDIOGRAPHY IN THE PREOPERATIVE DIAGNOSIS OF CONGENITAL HEART DISEASE -A NINE YEARS RETROSPECTIVE STUDY

作　　者：张运[1] 张薇解 敏张梅 葛志明[1] 胡燕燕[1] 朱式娟[1] 季晓平[1] 王旭[1] 郑昭伦[1] 

机构地区：[1]山东医科大学附属医院心内科

出　　处：《山东医科大学学报》1999年第1期70-73,共4页Acta Academiae Medicinae Shandong

基　　金：山东省医药卫生九五攻关课题

摘　　要：为了明确超声心动图在先心病术前诊断地位的历史演变，对１９８６～１９９４年行超声检查并行手术治疗的１２８１例先心病患者进行了回顾性研究。９年来，术前单纯行超声检查者从５１４０％上升到９７６１％，心导管检查的比例从４８６０％下降到２．３１％，所有单纯行超声检查的定性诊断准确率分别为９３９１％和９４２１％，心导管为８７６２％，低于超声检查（Ｐ＜０．００１）。单纯及复杂先心病超声诊断准确率分别为９８８６％和８３３４％，后者显著低于前者（Ｐ＜０．００１）。先心病综合超声检查的术前诊断准确率高于心导管检查和心血管造影。To evaluate the historical changes of the role of echocardiography(ECHO) in the preoperative diagnosis of congenital heart disease(CHD), 1281 patients who underwent ECHO examination and cardiac surgery in our hospital from 1986 to 1994 were retrospectively studied. The ratio of the patients undergone only ECHO examination before cardiac surgery increased from 51.40% to 97.61%, and has a high correlation with the year( r =0.94), while the ratio of patients undergone preoperative catheterization (CATH) decreased from 48.60% to 2.31%, and has a high negative correlation with the year( r =-0.94). In the patients undergone ECHO examination before surgery and the aptients undergone only ECHO examination, the qualitative diagnostic accuracy of ECHO was 93.91% and 94.21% respectively. The qualitative diagnostic accuracy of CATH was 87.62%, which is much lower than that of ECHO( P <0.001). The qualitative diagnostic accuracy of ECHO in simple CHD is 98.86%,and in complex CHD,83.34%. The diagnostic accuracy of combined ECHO examination in the simple CHD is 98.86%,in the complex CHD83.34%, and in all of the CHD, almost 94%, which is higher than that of CATH. In almost 80% of the CHD, ECHO examination has substituted for the CATH examination in the preoperative diagnosis.

关 键 词：心脏缺损 先天性 超声心动图 诊断 术前 诊断 

分 类 号：R540.45[医药卫生—心血管疾病] R654.2[医药卫生—内科学]