手振葡萄糖与生理盐水混合液右心声学造影对右向左异常分流先天性心脏病的诊断价值  

Diagnostic value of right myocardial contrast echocardiography with a mixture of hand vibrating glucose and normal saline in congenital heart disease of abnormal right-to-left shunt

作　　者：郑健义 王翠云 Zheng Jianyi;Wang Cuiyun(Department of Ultrasound,Dafeng Hospital,Shantou 515154,China)

机构地区：[1]广东省汕头市潮阳区大峰医院超声科,广东汕头515154 [2]广东省汕头市潮阳区大峰医院口腔科,广东汕头515154

出　　处：《海军医学杂志》2025年第2期165-169,共5页Journal of Navy Medicine

基　　金：汕头市科技计划项目(230511176498981)。

摘　　要：目的分析手振葡萄糖与生理盐水混合液右心声学造影对右向左异常分流先天性心脏病(CHD)的诊断价值。方法选取2019年1月至2023年8月存在可疑右向左异常分流CHD患者150例。所有患者均进行常规超声心动图检查与右心声学造影。以数字减影血管造影检查为金标准,比较常规超声心动图检查与右心声学造影的诊断结果、右心声学造影的半定量分级结果以及常规超声心动图检查与右心声学造影的检出率。结果在150例CHD患者中,经数字减影血管造影检查出68例阳性,82例阴性;经常规超声心动图检查出48例阳性,102例阴性;经右心声学造影检查出66例阳性,84例阴性;右心声学造影的检出率高于常规超声心动图(P<0.05);半定量分级0级84例、Ⅰ级22例、Ⅱ级26例、Ⅲ级18例;右心声学造影对右向左异常分流CHD的灵敏度大于常规超声心动图(P<0.05)。结论手振葡萄糖与生理盐水混合液右心声学造影对右向左异常分流CHD的检出率及灵敏度较高,能显示出心脏内部结果,对CHD的严重程度也具有一定的诊断价值。Objective To analyze the diagnostic value of right myocardial contrast echocardiography with a mixture of hand vibrating glucose and normal saline in congenital heart disease(CHD)of abnormal right-to-left shunt.Methods A total of 150 patients with suspected CHD of abnormal right-to-left shunt who underwent conventional echocardiography and right myocardial contrast echocardiography from January 2019 to August 2023 were selected as research objects.Transesophageal echocardiography was taken as the gold standard.The detection rate of conventional echocardiography and right myocardial contrast echocardiography were compared.Semi-quantitative grading of right myocardial contrast echocardiography was recorded.Results The diagnostic result was positive in 68 patients by digital subtraction angiography,in 48 patients by conventional echocardiography,in 66 patients by right myocardial contrast echocardiography.The detection rate and sensitivity of right myocardial contrast echocardiography to CHD of abnormal right-to-left shunt were higher than those of conventional echocardiography(all P<0.05).There were 84 cases of grade 0,22 cases of gradeⅠ,26 cases of grade Ⅱ and 18 cases of grade Ⅲ according to the semi-quantitative classification.Conclusion Right myocardial contrast echocardiography with a mixture of glucose and saline has a high detection rate and sensitivity for CHD of abnormal right-to-left shunt.It can show internal cardiac results and has diagnostic value for the severity of CHD.

关 键 词：手振 混合液 右心声学造影 右向左异常分流 先天性心脏病 

分 类 号：R445.1[医药卫生—影像医学与核医学]