经食道心脏超声诊断心源性栓塞性脑梗死的价值  

Value of Transesophageal Echocardiography in the Diagnosis of Cardiogenic Embolic Cerebral Infarction

作　　者：陈俊杰 CHEN Jun-jie(Department of Critical Care Medicine, Yixing Hospital, Jiangsu University, Yixing, Jiangsu Province, 214200 China)

机构地区：[1]江苏大学附属宜兴医院重症医学科,江苏宜兴214200

出　　处：《中外医疗》2019年第7期178-180,共3页China & Foreign Medical Treatment

摘　　要：目的研究与分析经食道心脏超声诊断心源性栓塞性脑梗死(CES)的价值。方法便利选取该院2017年3月—2018年3月收治的心源性栓塞性脑梗死患者50例为对象进行研究,回顾性分析其全部的临床资料,所有患者均采取经胸壁心脏超声(TTE)和经食道心脏超声(TEE)诊断。观察比较两种诊断方法的结果数据。结果该组50例患者经TEE检出15例CES,检出率30.0%(15/50),而经TTE检出3例CES,检出率6.0%(3/50),两种方法检出率对比差异有统计学意义(t=19.512 2,P=0.000)。而经TEE检出心房缺损7例,占比14.0%(7/50),检出左心房自发声学影像2例,占比4.0%(2/50),而经TTE均未检出,且两者数据对比差异有统计学意义(t=15.053 8,4.081 6,P=0.000,0.043)。而在二尖瓣增厚、卵圆管未闭合、总动脉斑点等检出率方面对比差异无统计学意义(P>0.05)。结论经食道心脏超声诊断心源性栓塞性脑梗死可达到较高检出率,且与经胸壁心脏超声诊断相比具有显著优势,因此值得临床应用推广。Objective To study and analyze the value of transesophageal echocardiography in the diagnosis of cardiogenic embolic cerebral infarction(CES). Methods Convenient select a total of 50 patients with cardiogenic embolic cerebral infarction admitted to our hospital from March 2017 to March 2018 were enrolled. All clinical data were retrospectively analyzed. All patients underwent transthoracic echocardiography(TTE) and transesophageal echocardiography(TEE) diagnosis.Observe and compare the results of the two diagnostic methods. Results In this group of 50 patients, 15 cases of CES were detected by TEE, the detection rate was 30.0%(15/50), and 3 cases of CES were detected by TTE. The detection rate was6.0%(3/50). The difference was was statistically significant(t=19.512 2, P=0.000 0). 7 cases of atrial defect were detected by TEE, accounting for 14.0%(7/50). 2 cases of spontaneous acoustic imaging of left atrium were detected, accounting for4.0%(2/50), but not detected by TTE. The difference was statistically significant(χ~2=15.053 8,4.081 6, P=0.000,0.043).There was no significant difference in the detection rate of mitral valve thickening, oval tube not closed, and total arterial spots, was not statistically significant(P>0.05). Conclusion Transesophageal echocardiography can achieve a high detection rate of cardiac embolism cerebral infarction, and it has significant advantages compared with transthoracic echocardiography. Therefore, it is worthy of clinical application.

关 键 词：经食道心脏超声 心源性栓塞性脑梗死 经胸壁心脏超声 诊断价值 

分 类 号：R743[医药卫生—神经病学与精神病学]