彩色多普勒超声心动图在小儿房间隔缺损诊治中的作用分析  

Application of color Doppler echocardiography for transcatheter occlusion of children atrial septal defect

作　　者：庚靖淞[1] 朱鲜阳[1] 于馨[2] 侯传举[1] 盛晓棠[1] 

机构地区：[1]沈阳军区总医院先心病内科,辽宁沈阳110016 [2]沈阳军区总医院特诊科,辽宁沈阳110016

出　　处：《临床军医杂志》2015年第11期1130-1133,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨彩色多普勒超声心动图(TTE)在小儿继发孔房间隔缺损(ASD)诊治中的作用。方法筛选98例小儿继发孔ASD患者,封堵术前应用二维超声心动图(2DE)观察ASD位置、大小和残余边缘长度。应用彩色多普勒血流显像(CDFI)观察过房间隔分流束和各瓣膜反流情况。应用连续波多普勒(CW)估测肺动脉压力。封堵术中应用2DE监视封堵器位置是否正常,应用CDFI观察是否有残余分流及是否引起或加重瓣膜反流。封堵术后应用2DE测量心腔内径的变化,观察封堵器是否有移位、脱落。应用CDFI观察是否有残余分流及瓣膜反流情况。应用CW估测肺动脉压力变化。结果本组98例小儿继发孔ASD患者经TEE术前筛选适应证、术中监测和术后疗效判断,实施ASD封堵术全部获得成功,包括合并畸形全部实施介入治疗,治疗效果满意。结论彩色多普勒超声心动图在小儿继发孔房间隔缺损的术前诊断、术中监测及术后疗效判断中具有重要的临床作用。Objective To explor the clinical value of color Doppler echocardiograph （ TTE） in occlusion for children with secundum atrial septal defect. Methods Totally 98 pediatric patients with secundum atrial septal defect were included in this study. The ASD lo-cation,size and residual edge were observed by TTE,and the pulmonary hypertension was measured by continuous-wave Dopple before occlusion for screening. TTE was used to monitor the shift or detachment of occluder,residual shunt,valve function and varition of pres-sure of the Pulmonary artery. Results The occlusion was successful in 98 pediatric patients without residual shunt. Conclusion TTE played an important role in preoperative diagnosis,operation monitoring and postoperative judgment for children with secundum atrial septal defect.

关 键 词：先天性心脏病 房间隔缺损 彩色多普勒超声心动图 

分 类 号：R714.5[医药卫生—妇产科学]