经食道超声心动图在成人先天性心脏病中的应用价值  

Application Value of Transesophageal Echocardiography in Adult Congenital Heart Disease

作　　者：李晓霞 李红俊 杨尹 杨丽 范钦 成家茂 陈海燕 LI Xiao-xia;LI Hong-jun;YANG Yin;YANG Li;FAN Qin;CHENG Jia-mao;CHEN Hai-yan(Department of Ultrasound,College of Clinical Medicine of Dali University/Department of Ultrasound,Fourth People's Hospital of Yunnan Province,Dali 671000,Yunnan,China;Department of Functional Imaging,Maternal and Child Health Hospital in Dali Prefecture,Dali 671000,Yunnan,China;Department of Human Anatomy,Basic Medical College of Dali University,Dali 671000,Yunnan,China)

机构地区：[1]大理大学临床医学院超声教研室/云南省第四人民医院超声科,云南大理671000 [2]云南省大理州妇幼保健院影像功能科,云南大理671000 [3]大理大学基础医学院解剖学教研室,云南大理671000

出　　处：《医学信息》2023年第15期188-192,共5页Journal of Medical Information

基　　金：2021年云南省教育厅科学研究基金面上项目(编号:2021J0382);2022年云南省教育厅科学研究基金项目(编号:2022Y855);2022年大理大学第一附属医院杰出中青年人才项目(编号:1)。

摘　　要：越来越多的先天性心脏病患儿可以存活到成年,且病情变得更加复杂,致使心力衰竭成为大部分40岁以后的成人先天性心脏病(ACHD)患者最主要的死亡原因。超声心动图因其便捷、安全等特点成为临床诊断先天性心脏病的首选方法,其中经食道超声心动图(TEE)可从心后面观察心内部病变,能更加清晰地获取心脏瓣膜、左心耳等结构的图像。随着超声技术的快速发展,实时三维经超声心动图(RT-3D-TEE)提升了TEE在心脏外科手术和介入手术中的地位,现已在国内外成人心脏手术中得到广泛应用。本文主要就TEE在ACHD不同封堵术和球囊扩张术患者术前、术中和术后中的应用进行综述。More and more children with congenital heart disease can survive to adulthood,and the patient's condition becomes more complex,leading to heart failure as the main cause of death for most adult patients with congenital heart disease(ACHD)after the age of 40.Echocardiography has become the preferred method for clinical diagnosis of congenital heart disease for its convenience,safety and other characteristics.Transesophageal echocardiography(TEE)can more clearly obtain the images of heart valves,left atrial appendage and other structures by observing the internal heart lesions from the back of the heart.With the rapid development of ultrasound technology,real-time three-dimensional echocardiography(RT-3D-TEE)has improved the position of TEE in cardiac surgery and interventional surgery,and has been widely used in adult cardiac surgery at home and abroad.This paper mainly reviews the application of TEE in the patients with ACHD before,during and after different occlusions and balloon dilations.

关 键 词：成人先天性心脏病 经食道超声心动图 心脏介入治疗 封堵术 球囊扩张术 

分 类 号：R714.5[医药卫生—妇产科学]