儿童川崎病冠状动脉病变的超声分析  

Ultrasound Analysis of Coronary Artery Lesions in Children with Kawasaki Disease

作　　者：谭易芬 Tan Yifen(Department of Ultrasound,Fuzhou Hospital of Traditional Chinese medicine,Fuzhou,Fujian 350001)

机构地区：[1]福州市中医院超声科,福建福州350001

出　　处：《现代医用影像学》2024年第8期1504-1506,1511,共4页Modern Medical Imageology

摘　　要：目的:探讨超声心动图在川崎病冠状动脉病变的诊断及随访中的应用。方法:回顾分析2017至2022年收治的67例川崎病并发冠状动脉病变的超声心动图表现,并收集随访资料,观察患儿冠状动脉恢复情况。结果:冠状动脉病变占川崎病患者总数的34.3%(67/195),67例冠状动脉病变中,左冠脉受累46例(68.7%),右冠脉21例(31.3%);共累及冠状动脉126支,其中左主干(32.3%),左前降支(33.8%),回旋支(1.9%),右冠脉(32%);小型冠状动脉瘤95支(75.4%),中型冠状动脉瘤21支(16.7%),巨大冠状动脉瘤10支(7.9%),其中4支(3.1%)合并血栓形成。126支冠脉病变随访结果:94支(74.6%)小型冠状动脉瘤恢复正常;20支(15.9%)内径较之前明显缩小;12支(9.5%)无明显变化;其中4支巨大冠状动脉瘤(3.1%)并发血栓并持续存在。结论:小型冠状动脉瘤,恢复时间短,预后较好;中型冠状动脉瘤恢复时间长,预后较差;巨大冠状动脉瘤易并发血栓等并发症,预后最差。Objective:To explore the application of echocardiography in the diagnosis and follow⁃up of coronary artery lesions in kawasaki disease.Methods:Echocardiograms of 67 cases of kawasaki disease complicated with coronary artery disease were retrospectively analyzed,and follow⁃up data were collected to observe the recovery of coronary arteries in the children.Results:Coronary artery disease accounted for 34.3%(67/195)of the total number of patients with kawasaki disease.Among the 67 cases of coronary artery disease,there were 68.7%(46 cases)of left coronary artery involvement and 31.3%(21 cases)of right coronary artery involvement;A total of 126 coronary arteries were involved,including the left main artery(32.3%),left anterior descending artery(33.8%),circumflex artery(1.9%),and right coronary artery(32%);95 branches(75.4%)showed mild coronary artery dilation,21 branches(16.7%)had moderate coronary artery aneurysms,and 10 branches(7.9%)had giant coronary artery aneurysms,of which 4 branches(3.1%)had concurrent thrombosis.Follow up results of 126 cases of coronary artery dilation:94 cases(74.6%)of coronary artery dilation returned to normal;The inner diameter is significantly reduced by 20 tubes(15.9%)compared to before;12 branches(9.5%)showed no significant changes;Among them,4 giant coronary artery aneurysms(3.1%)were complicated with thrombosis and persisted.Conclusion:Mild coronary artery dilation has a short recovery time and a good prognosis;moderate coronary artery aneurysms have a long recovery time and poor prognosis;giant coronary artery aneurysms are prone to complications such as thrombosis and have the worst prognosis.

关 键 词：川崎病 超声心动图 冠状动脉扩张 

分 类 号：R445.1[医药卫生—影像医学与核医学] R725.4[医药卫生—诊断学]