室间隔缺损胸部平片和B型超声对比分析(附32例分析)  

The Comparative Analysis on Chest Radiogram and Echocardiography of Ventricular Septal Defect

作　　者：邱询花[1] 杨仍新 于杰 林祥涛[1] 

机构地区：[1]山东省医学影像学研究所,250021 [2]山东省蓬莱市人民医院影像科 [3]山东省潍坊市立医院

出　　处：《实用放射学杂志》1999年第11期673-675,共3页Journal of Practical Radiology

摘　　要：目的：回顾性探讨室间隔缺损（室缺）Ｘ线与超声影像表现，以提高诊断水平。方法：３２ 例手术证实室缺，男２２例，女１０例。年龄３～２４ 岁，１２岁以下２０例。均有心脏远达、吞钡左侧位片及使用日本Ａｌｏｋａ－ ７２０型显像仪，频率３５ ＭＨｚ进行扫描，根据缺损大小分＜ ０．５ ｃｍ 、０．５～１．０ ｃｍ ，１．１～１．５ ｃｍ ，＞ １．５ ｃｍ 四组进行影像分析。结果：室缺在１．０ ｃｍ 以下Ｘ线诊断１２／１８例，余６例超声做出诊断，超声诊断１６／１８例，余２ 例Ｘ线提示诊断。缺损在１．１ ｃｍ 以上者１４ 例，两者均能作出诊断。结论：Ｘ线与超声结合，能提高室缺诊断正确率，尤对１．０ ｃｍ 以下缺损者，两者更应密切结合使用。Objective:In order to improve the dianostic level of VSD,the imaging findings of VSD on chest radiogram and echocardiography were studied retrospectively.Methods:There were 32 cases of VSD,20 male and 12 female nanged in age from 3 to 24 years.The chest radiogram included anteroposterior view and lateral view with barium swallowed.Aloka-720 ultrasound machine was used to examine the patients with 3.5 MHz probe.According to the size of defective hole,the cases of VSD were classified into 4 groups:group A<0.5 cm;group B 0.5-1.0 cm;group C 1.1～1.5 cm;group D>1.5 cm.Results:The VSD with defect less than 1.0 cm was in 18 cases,in which,12 and 16 cases were diagnosed by radiology and ultrasound respeetively.The VSD with defect larger than 1.1 cm could be diagnosedby both radiogram and echocardiography.Conclusion:By combination of chest radiogram and echocardiography,the diagnosis of VSD can be improved especially for patients with defect less than 1.0 cm.

关 键 词：室间隔缺损 X线 超声心动图 B超 诊断 

分 类 号：R541.104[医药卫生—心血管疾病] R445[医药卫生—内科学]