局部麻醉下经食道四维超声心动图在房间隔缺损最大径测值的应用研究  

Application of Transesophageal Four-Dimensional Echocardiography in the Measurement of the Maximum Diameter of Atrial Septal Defect Under Local Anesthesia

作　　者：颜艳[1] 曾健 杨基兰[1] 缪娟[1] YAN Yan;ZENG Jian;YANG Ji-lan;MIAO Juan(Department of Ultrasound,Zigong Fourth People's Hospital,Sichuan Zigong 643000)

机构地区：[1]自贡市第四人民医院超声医学科,四川自贡643000

出　　处：《中国医疗器械信息》2024年第2期27-29,共3页China Medical Device Information

基　　金：自贡市卫生健康委员会科研课题(课题名称:局部麻醉下经食道四维超声心动图在房间隔缺损最大径测值的应用研究,课题编号:19yb026)。

摘　　要：目的:探讨局部麻醉下经食道四维超声心动图在房间隔缺损最大径测值的应用效果。方法:选择2019年1月~2022年5月20例房间隔缺损手术治疗患者,术前局部麻醉下经食道超声心动图(transesophageal echocardiography,TEE)和经胸超声心动图(transthoracic echocardiography,TTE)分别检测房间隔缺损最大径与开胸修补术补片最大径值以及封堵介入手术所选封堵器型号行相关分析。结果:20例患者中局部麻醉下经食道四维超声心动图测得的房间隔缺损最大径与手术直径的平均绝对差值为(2.44±0.38)mm,小于经胸超声心动图测得的平均绝对差值(4.52±0.33)mm,差异有统计学意义(P<0.05)。结论:局部麻醉下经食道四维超声心动图在房间隔缺损术前检测房间隔缺损最大径,对房间隔缺损开胸修补术补片和封堵介入手术封堵器选择较经胸超声心动图具有较好的应用价值。Objective:To investigate the application effect of transesophageal four-dimensional echocardiography in maximum diameter measurement of atrial septal defect under local anesthesia.Methods:From January 2019 to May 2022,20 patients with atrial septal defect underwent surgical treatment.The maximum diameter of atrial septal defect,the maximum diameter of patch for thoracotomy repair and the type of occluder selected for occlusive interventional surgery were detected by transesophageal echocardiography(TEE)and transthoracic echocardiography(TTE)under local anesthesia before operation.Results:The mean absolute difference between the maximum diameter of atrial septal defect measured by transesophageal four-dimensional echocardiography and operation diameter was(2.44±0.38)mm in 20 patients under local anesthesia,which was smaller than that measured by transthoracic echocardiography(4.52±0.33)mm,the differences were statistically significant(P<0.05).Conclusion:Transesophageal four-dimensional echocardiography can detect the maximum diameter of atrial septal defect before operation under local anesthesia,and it has better application value in the selection of patch for thoracotomy repair of atrial septal defect and occluder for interventional operation.

关 键 词：局部麻醉下 经食道四维超声心动图 房间隔缺损 最大径 

分 类 号：R541[医药卫生—心血管疾病]