超声心动图对肺静脉异位引流的漏误诊分析  

Analysis of echocardiography in diagnosis and misdiagnosis of ectopic pulmonary venous drainage

作　　者：刘瑶 刘思歧 LIU Yao;LIU Siqi(Department of Ultrasound,Fuwai Hospital,BeiJing 100000,China;Department of Ultrasound,Chongqing Emergency Medical Center,Chongqing 400010,China)

机构地区：[1]中国医学科学院阜外医院超声科,北京100000 [2]重庆市急救医疗中心超声科,400010

出　　处：《重庆医学》2021年第17期2947-2949,共3页Chongqing medicine

基　　金：中央高校基本科研业务费“医工融合项目”(2019CDYGYB017)。

摘　　要：目的分析肺静脉异位引流(APVC)的超声漏误诊原因,提高对该病的诊断率。方法回顾性分析2019年3月至2020年3月阜外医院经手术证实的28例漏误诊APVC病例资料,总结超声诊断要点。结果28例APVC病例均经手术证实,17例为完全型APVC,其中心内型13例,心上型3例,混合型1例;11例为部分型APVC,其中心内型10例,心下型1例。结论超声心动图诊断APVC应观察心脏区域异常血流。Objective To analyze the causes of ultrasonic misdiagnosis of pulmonary venous ectopic drainage(APVC),and improve the diagnostic rate of APVC.Methods Retrospectively analyzed the data of 28 cases of missed and misdiagnosed APVC cases in Fuwai Hospital from March 2019 to March 2020,and summarized the main points of ultrasound diagnosis.Results All the 28 cases of APVC were confirmed by operation,among whom 17 cases were complete APVC,including 13 cases of intracardiac type,3 cases of cardiac type and 1 case of mixed type.Another 11 cases were partial APVC,including 10 cases of intracardiac type and 1 cases of subcardiac type.Conclusion Abnormal blood flow in cardiac area should be observed in the diagnosis of APVC by echocardiography.

关 键 词：全肺静脉异位引流 分型 漏误诊 超声心动图 原因分析 

分 类 号：R445.1[医药卫生—影像医学与核医学]