超声心动图与心导管造影测量动脉导管最小内径的吻合率及临床意义  

Coincidence and Clinical Significance of Transthoracic Echocardiographic and Angiographic Measurement of Patent Ductus Arteriosus

作　　者：泮思林 张蓓 万浩 邢泉生 邸勇 孙慧文 秦凯 

机构地区：[1]青岛市儿童医院心脏中心,山东省青岛市266011 [2]青岛市儿童医院超声科,山东省青岛市266011 [3]青岛市儿童医院放射科,山东省青岛市266011

出　　处：《中国超声医学杂志》2011年第1期79-81,共3页Chinese Journal of Ultrasound in Medicine

基　　金：青岛市科技支撑资助计划(No.08-2-1-3-nsh)

摘　　要：目的探讨经胸超声心动图(TTE)与心导管造影测量动脉导管(PDA)内径的吻合率及临床意义。方法 2008年6月～2009年9月,我单位对63例PDA进行介入封堵治疗。男25例,女38例,年龄5个月～13岁(中位年龄4.5岁),体质量(17.2±5.1)kg。比较经胸超声心动图与心导管造影测量动脉导管最小内径的吻合情况。结果超声心动图和心导管造影测量动脉导管最窄处内径无明显差异。59例患儿应用国产PDA封堵器封堵成功,3例放置Cook公司弹簧圈,1例由于PDA粗大、呈短管型合并重度肺动脉高压,放弃封堵。封堵术后3～5 d出院,近期随访无不良反应。结论经胸超声心动图可达到与心导管造影测量动脉导管最窄处内径相当的吻合率,对于术前选择、封堵器械准备,评估病情具有较大的临床价值。Objective To explore the coincidence of transthoracic echocardiography（TTE）and angiograhy in evaluation the dimension of patent ductus arteriosus（PDA）and its clinical significance. Methods 63 cases with PDA under went transcatheter intervention between June 2008 and September 2009 with 25 boys and 718 girls[aged from 5 months to 13 years（median 4.5 years）,bodyweight 17.2 ±5. 1 kg]. Coincidence of TTE and angiography in PI）A were corn pared. Results There was no significant difference between TTE and angiograhy. 59 cases were closed with domesti cally-made PDA occluders,3 with Cook spring coils and 1 failed for large duct associated with severe pulmonary hyper tension and converted into thoracotomy. They were discharged 3 to 5 days after occlusion without adverse effects. Conclusions TTE can reach the same coincidence in measuring thenarrowest internal diameter of ductus arteriosus as angiography, It is of great value in occluder selection,preparation and disease evaluation.

关 键 词：动脉导管未闭 经胸超声心动图 心导管造影 介入治疗 

分 类 号：R445.1[医药卫生—影像医学与核医学]