完全性肺静脉异位引流的二维多普勒超声诊断价值  

Two-dimensional Color Doppler Flow Imaging in Detecting Totally Anomalous Pulmonary Venous Conection

作　　者：周建华[1] 黄云洲[1] 陈元禄[1] 任书堂[1] 龙进[1] 孙佳英[1] 邵洋[1] 

机构地区：[1]天津医科大学心血管病临床学院泰达国际心血管病医院超声科,天津市100457

出　　处：《中国超声医学杂志》2012年第10期928-931,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨二维多普勒超声(2D-CDFI)诊断完全性肺静脉异位引流(TAPVC)的价值。方法回顾分析经手术或CT证实的32例TAPVC患者2D-CDFI资料。结果 32例TAPVC患者术前2D-CDFI正确诊断29例(90.6%),提示性诊断2例(6.3%),漏诊1例(3.1%),正确诊断和提示诊断率达96.9%;其中心上型14例,心内型12例,心下型2例,混合型4例。结论 2D-CDFI对TAPVC诊断具有极高的临床价值,并可准确予以分型及定量评估肺动脉高压程度,对外科手术时机和方式的选择具有重要意义。Objective To explore the value of Two dimensional Color Doppler Flow Imaging（2D-CDFI） in detec- ting Total Anomalous Pulmonary Venous Conection （TAPVC）. Methods 2D-CDFI data of 32 patients with TAPVC proved by operations or CT were analyzed retrospectively. Results 29（90.6%） TAPVC patients were diagnosed defi- nitely with 2D-CDFI, 2（6.3%） TAPVC were suspected, while 1 （3.1%） TAPVC was missed. The total ratio of the former two cases was 96.9 %. Of the 31 patients with TAPVC, supracardiac type was in 14 patients, cardiac in 12,inf- racardiae in 2 and mixed in 4. Conclusions 2D-CDFI has important clinic value in detecting TAPVC and typing TAPVC exactly and assess pulmonary arterial pressure quantitively,it plays an important role in selecting an optimal operation strategy.

关 键 词：完全性肺静脉异位引流 二维多普勒超声 

分 类 号：R543.2[医药卫生—心血管疾病] R445.1[医药卫生—内科学]