经食道实时三维超声心动图在房间隔缺损封堵术中的应用  

Application of real-time 3D transesophageal echocardiography for guiding transcatheter closure of atrial septal derect

作　　者：金朝龙[1] 林先和[1] 史学功[1] 肖洁[1] 许昌庆[1] 王德超[1] 

机构地区：[1]安徽医科大学第一附属医院心内科,合肥230022

出　　处：《安徽医科大学学报》2016年第5期759-761,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省自然科学基金(编号:1508085MH145)

摘　　要：62例先天性心脏病Ⅱ孔型房间隔缺损(ASD)患者,术前均行二维经胸超声(2D-TTE)、二维经食道超声(2DTEE)检查测量ASD最大径及经食道实时三维超声(RT-3DTEE)检查测量ASD最大直径及面积。将所得测结果与房间隔缺损封堵器(ASO)型号作对比。60例患者成功接受经导管房间隔缺损封堵术(TCASD)治疗,术后均未探及残余分流,1例因经食道实时三维超声诊断为多孔型ASD而放弃封堵,1例因上腔静脉侧残边缺如放弃封堵。RT-3D-TEE、2D-TEE和2D-TTE的ASD最大径与ASO型号相关良好(r=0.881、0.798、0.702),RT-3D-TEE测量面积与ASO型号相关性系数为0.912,最大径的相关性RT-3D-TEE测量的最高,同时运用RT-3D-TEE测量面积和ASO型号的相关性比此3种方法测量ASD最大径的相关性高。62 patients with ASD were examined with the maximum diameters by transthoracic echocardiography （2D-TYE）, transesophageal echocardiography （2D-TEE）, and all of these patients were examined with the maxi- mum diameters and area by real-time 3-dimensional transesophageal echocardiography （RT-3 D-TEE）. The maximum diameters and area of ASD measured by each method were compared with the diameters and area of ASO repective- ly. 60 cases were enrolled for transcatheter closure of atrial septal defect （TCASD） successfully, and no residual shunt was found immediately after the procedure, 1 transferred for surgery because of the diagnosis with multiple atri- al septal defects by the real-time 3D transesophageal echocardiography, 1 transfefred for surgery because of its ab- sent rim of superior vena cava. There were correlations between diameters of ASO and sizes of ASD measured by 3D-TEE,2D-TEE,2D-TTE（r = 0. 881,0. 798,0. 702）. The correlations between area of ASD and sizes of ASO measured by 3D-TEE is 0.912, the correlation of diameter by RT-3D-TEE was highest. Meanwhile, the correlations of area by 3D-TEE is higher than the correlations of diameter by these three methods.

关 键 词：经食道实时三维超声心动图 房间隔缺损 封堵术 

分 类 号：R541[医药卫生—心血管疾病]