右心声学造影联合经胸心脏超声在诊断偏头痛患者卵圆孔未闭中的价值分析  

Analysis of the Value of Right Heart Contrast Echocardiography Combined with Transthoracic Echocardiography in Diagnosing Patent Foramen Ovale in Patients with Migraine

作　　者：李珍 杨同慧 陈杏 LI Zhen;YANG Tong-hui;CHEN Xing(Nanjing Gaochun Traditional Chinese Medicine Hospital,Nanjing,Jiangsu 211300,China)

机构地区：[1]南京市高淳中医院,江苏南京211300

出　　处：《黔南民族医专学报》2025年第1期46-49,共4页Journal of Qiannan Medical College for Nationalities

摘　　要：目的:探究右心声学造影联合经胸心脏超声在诊断偏头痛患者卵圆孔未闭(PFO)中的诊断价值。方法:回顾性分析本院收治的疑似偏头痛PFO患者共计68例,全部研究对象均接受右心声学造影和经胸心脏超声检查,分别对比两种检测方法以及联合检测应用于PFO的诊断价值;计算单独应用、联合应用两种方案进行诊断的灵敏度、特异度以及准确率。结果:在本研究纳入的68例研究对象中,最终确诊为偏头痛PFO的患者共计21例。其中,单独应用右心声学造影进行诊断有2例假阳性病例,4例假阴性病例;单独应用经胸心脏超声进行诊断有10例假阳性病例,8例假阴性病例;两种方案联合进行诊断有1例假阳性病例。单独采用右心声学造影诊断偏头痛PFO的灵敏度为80.95%、特异度为95.74%,准确率为91.18%;单独使用经胸心脏超声诊断的灵敏度为61.90%,特异度为78.72%,准确率为73.53%。两种方案联合诊断的灵敏度为100.00%、特异度为97.87%,准确率为98.53%。联合使用两种方案进行诊断的效能优于单一项目诊断。结论:右心声学造影联合经胸心脏超声应用于偏头痛PFO患者能够有效提高诊断灵敏度、特异度以及准确率,值得借鉴应用。Objective:To explore the diagnostic value of right heart contrast echocardiography combined with transthoracic echocardiography in diagnosing patent foramen ovale(PFO)in patients with migraine.Methods:A retrospective analysis was conducted on a total of 68 patients with suspected migraine and PFO admitted to our hospital.All subjects underwent right heart contrast echocardiography and transthoracic echocardiography.The diagnostic value of the two methods alone and in combination for PFO was compared.The sensitivity,specificity,and accuracy of the two methods used alone and in combination were calculated.Results:Among the 68 subjects included in this study,21 were ultimately diagnosed with migraine and PFO.When right heart contrast echocardiography was used alone,there were 2 false-positive cases and 4 false-negative cases.When transthoracic echocardiography was used alone,there were 10 false-positive cases and 8 false-negative cases.When the two methods were used in combination,there was only 1 false-positive case.The sensitivity,specificity,and accuracy of right heart contrast echocardiography alone for diagnosing migraine with PFO were 80.95%,95.74%,and 91.18%,respectively.The sensitivity,specificity,and accuracy of transthoracic echocardiography alone were 61.90%,78.72%,and 73.53%,respectively.When the two methods were used in combination,the sensitivity,specificity,and accuracy were 100.00%,97.87%,and98.53%,respectively.The diagnostic performance of the combined use of the two methods was superior to that of a single method.Conclusion:The combined use of right heart contrast echocardiography and transthoracic echocardiography in patients with migraine and PFO can effectively improve diagnostic sensitivity,specificity,and accuracy,and is worthy of application.

关 键 词：右心声学造影 经胸心脏超声 偏头痛 卵圆孔未闭 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]