超声心动图诊断小儿共同动脉干及合并心内畸形的价值  

The value of echocardiography in the diagnosis of truncus arteriosus communis and associated intracardiac malformations

作　　者：胡金玲[1] 任卫东[1] 张晶[1] 徐敏[1] 吴丹[1] 

机构地区：[1]中国医科大学附属盛京医院超声科,沈阳110004

出　　处：《中华医学超声杂志（电子版）》2015年第3期16-19,共4页Chinese Journal of Medical Ultrasound(Electronic Edition)

摘　　要：目的探讨超声心动图在共同动脉干(TAC)及合并心内畸形小儿患者诊断中的价值。方法回顾性分析中国医科大学附属盛京医院2006年1月至2014年5月30例TAC患儿的临床及超声心动图诊断资料。结果 30例患儿中,根据Collet Edwards法进行分型,其中Ⅰ型10例、Ⅱ型7例、Ⅲ型5例、Ⅳ型8例。TAC合并室间隔缺损患儿24例,是TAC最常见的心内畸形,房间隔缺损16例,动脉导管未闭7例,单心室6例,右位主动脉弓3例及其他少见心内畸形。经手术证实8例,其中Ⅰ型患儿5例,Ⅱ型患儿3例,术后1例Ⅰ型患儿死亡;16例患儿经CT血管成像证实,因未行手术治疗于半年内全部死亡。结论超声心动图对早期无创性准确诊断TAC及其并发心内畸形具有重要价值。Objective To evaluate the value of echocardiography in the diagnosis of truncus arteriosus communis（TAC）and associated intracardiac malformations. Methods We retrospectively reviewed 30 patients with TAC, their datum of clinical and echocardiographic diagnosis were studied during the period of January 2006 to May 2014 in Shengjing Hospital Affiliated to China Medical University. Results Based on Collet Edwards method, these 30 TAC patients included 10 cases of typeⅠ, 7 cases of typeⅡ, 5 cases of typeⅢ, 8 cases of typeⅣ. The most common associated intracardiac malformation was ventricular septal defect in 24 cases, 16 cases had arterial septal defect, 7 cases had patent ductus arteriosus, 6 cases had single ventricle, 3 cases had right aortic arch, etc. Among them, 8 cases were confirmed by surgery, 5 cases of typeⅠ, 3 cases of typeⅡ, and 1 case of typeⅠdied after operation;16 cases were confirmed by CT angiography （CTA） examinations, all of them died without operation within 6 months. Conclusion Echocardiography is a preferred and non-invasive method for TAC and the intracardiac malformations.

关 键 词：心血管畸形 超声心动描记术 儿童 

分 类 号：R725.4[医药卫生—儿科] R540.45[医药卫生—临床医学]