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投稿时间:2020-03-15 网络发布日期:2020-11-20
投稿时间:2020-03-15 网络发布日期:2020-11-20
中文摘要: 目的 探讨经胸超声心动图(TTE)和心血管造影(ACG)在皖北市级医院开展儿童先天性心脏病(CHD)介入治疗中的应用评估。方法 选取2017年4月至2019年12月收治的62例CHD介入封堵术患儿为研究对象,包括房间隔缺损(ASD)11例,室间隔缺损(VSD)23例,动脉导管未闭(PDA)28例。所有CHD患儿在放置封堵器前均行TTE与ACG评估缺损位置和大小,对符合介入治疗指征的患者行介入治疗,释放后再通过TTE与ACG判断封堵器位置形态及是否存在残余分流。结果 TTE与ACG检查对三种CHD的术前诊断准确率均为100%,TTE测量的PDA、VSD、ASD内径分别为(3.61±0.63)mm、(4.25±0.59)mm、(5.63±0.86)mm,均显著大于相应的ACG测量结果(3.26±0.65)mm、(4.03±0.58)mm、(4.89±0.80)mm(P<0.05,P<0.01)。TTE和ACG均显示术后封堵器位置固定且无残余反流,TTE在封堵器对周围组织影响的显示方面明显优于ACG。结论 TTE对于儿童CHD介入治疗的术前诊断与术后评估的应用优势大于ACG,但ACG在术中确定病变大小及指导封堵器选择的准确性方面高于TTE。
Abstract:Objective To evaluate the value of transthoracic echocardiography (TTE) and angiocardiography (ACG) in the interventional treatment of children with congenital heart disease (CHD) in a Wanbei municipal Hospital.Methods Sixty-two CHD children undergoing transcatheter interventional occlusion from April 2017 to December 2019 were enrolled as the research subjects,including 11 cases of atrial septal defect (ASD),23 cases of ventricular septal defect (VSD) and 28 cases of patent ductus arteriosus (PDA).TTE and ACG were applied to assess the location and size of the defect before placement of the occluder,and the interventional therapy was performed in the patients who were eligible for intervention.After the occluder was released,TTE and ACG were used to determine the location and shape of occluder and whether there was residual shunt.Results The preoperative diagnostic accuracy of TTE and ACG was 100% for three kinds of CHD . The inner diameters of PDA,VSD and ASD measured by TTE were (3.61±0.63)mm,(4.25±0.59)mm,(5.63±0.86)mm,respectively,which were significantly high than the corresponding results [(3.26±0.65)mm,(4.03±0.58)mm,(4.89±0.80)mm] measured by ACG ( P<0.05, P<0.01).Both TTE and ACG showed that the positions of occluder were fixed,and there were no residual shunt.TTE was superior to ACG in showing the influence of the device on the surrounding tissue.ConclusionTTE is superior to ACG in preoperative diagnosis and postoperative evaluation of interventional treatment of CHD in children,while ACG is superior to TTE in determining the defect size and guiding the selection of occluder.
keywords: Congenital heart disease,children Transthoracic echocardiography Angiocardiography Interventional treatment Atrial septal defect Ventricular septal defect Patent ductus arteriosus
文章编号: 中图分类号: 文献标志码:B
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Author Name | Affiliation |
DONG Nan,SUN Jing-wei,TIAN Jing-yi,LI Jia-chen | Department of Ultrasound,Bengbu First People′s Hospital,Bengbu,Anhui 233000,China |
引用文本:
董楠, 孙景巍, 田净忆, 李加晨.超声心动图和心血管造影在儿童先天性心脏病介入治疗中的应用[J].中国临床研究,2020,33(11):1512-1515.
董楠, 孙景巍, 田净忆, 李加晨.超声心动图和心血管造影在儿童先天性心脏病介入治疗中的应用[J].中国临床研究,2020,33(11):1512-1515.