cTCD与TEE结合ASCE在反射性晕厥伴PFO患者中的应用  

Application of Contrast Transcranial Doppler and Transesophageal Echocardiography Combined with Agitated Saline Contrast Echocardiography in Patients with Reflex Syncope Complicated with Patent Foramen Ovale

作　　者：王佳玉[1] 吴越阳 张佳 刘杰昕 Wang Jiayu;Wu Yueyang;Zhang Jia;Liu Jiexin(Department of Neurocardiology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京天坛医院神经心脏中心,北京市100050 [2]首都医科大学附属北京天坛医院神经病学中心,北京市100050

出　　处：《中国超声医学杂志》2023年第12期1362-1366,共5页Chinese Journal of Ultrasound in Medicine

基　　金：空间站工程航天医学实验领域资助项目(No.HYZHXM01011)。

摘　　要：目的 探讨对比增强经颅多普勒(cTCD)、经食管超声心动图(TEE)结合右心声学造影(ASCE)在反射性晕厥伴卵圆孔未闭(PFO)患者中的应用。方法 病例组(22例)为咳嗽、吞咽、用力排便、大笑或运动诱发的情境性晕厥患者,对照组(21例)为血管迷走性晕厥患者。收集一般资料、PFO结构和右向左分流(RLS)分级进行回顾性分析。结果 病例组大量分流患者显著多于对照组,PFO直径显著大于对照组(P<0.05)。相关性分析发现RLS分级和PFO直径呈正相关(P<0.001)。结论 cTCD、TEE结合ASCE在反射性晕厥伴PFO患者中有重要意义。Objective To investigate the application of contrast transcranial color Doppler(cTCD)and transesophageal echocardiography(TEE)combined with agitated saline contrast echocardiography(ASCE)in patients with reflex syncope complicated with patent foramen ovale(PFO).Methods There were twenty-two situational syncope patients induced by cough,swallowing,forced defecation,laughter or exercise in the case group,and twenty-one vasovagal syncope patients in the control group.General data,right-to-left shunt(RLS)classification and structure of PFO were analyzed retrospectively.Results The patient proportion with severe RLS in the case group was significantly higher than that in the control group,and the diameter of PFO was significantly larger than that in the control group(P<0.05).The correlation analysis showed that the RLS classification of PFO was positively correlated with the diameter of PFO(P<0.001).Conclusions cTCD and TEE combined with ASCE have important significance in reflex syncope complicated with PFO patients.

关 键 词：反射性晕厥 卵圆孔未闭 对比增强经颅多普勒 经食管超声心动图 右心声学造影 

分 类 号：R445.1[医药卫生—影像医学与核医学] R741[医药卫生—诊断学] R541[医药卫生—临床医学]