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目的 旨在评价超声心动图对完全性肺静脉异位引流 (TAPVD)的诊断价值。方法 对 1987年 9月至2 0 0 2年 11月收治的TAPVD患儿 70例进行分析。均有完整的临床及超声心动图资料 ,其中 35例施行了手术治疗。结果 70例TAPVD的解剖分型为 :心内型 5 2例、心上型 16例、心下型 2例 ,未发现混合型。 35例施行手术 ,32例与术前超声心动图的诊断一致 ;3例与超声心动图诊断不完全一致 ,其超声心动图诊断分别为 :三房心伴继发孔房缺、左房隔膜伴继发孔房缺、原发孔房缺伴卵圆孔未闭 ,而手术结果均显示为心内型TAPVD伴继发孔房缺。结论 超声心动图检查是诊断TAPVD重要且准确的方法 ,并能确定其分型 ,提供精确的解剖及血流动力学资料。在应用超声心动图诊断TAPVD时 ,应注意与三房心、左房隔膜等疾病进行鉴别。
Purpose To evaluate the value of echocardiography in the diagnosis of complete pulmonary venous drainage (TAPVD). Methods Seventy patients with TAPVD admitted from September 1987 to November 2002 were analyzed. There are complete clinical and echocardiographic data, of which 35 patients underwent surgical treatment. Results TAPVD in 70 cases was classified into 52 cases of intracardiac type, 16 cases of cardiac type and 2 cases of subcardiac type. No mixed type was found. 35 cases underwent surgery, 32 cases were consistent with preoperative echocardiographic diagnosis; 3 cases and echocardiography is not exactly the same diagnosis of echocardiography were: three heart with secondary atrial septal defect, left atrial septal with Secondary hole atrial septal defect, primary hole with lack of foramen ovale, while the results showed that the intracardiac TAPVD with secondary atrial septal defect. Conclusion Echocardiography is an important and accurate method for the diagnosis of TAPVD, and can determine its classification and provide accurate anatomic and hemodynamic data. In the application of diagnostic echocardiography TAPVD, attention should be paid and three heart, left atrial septal disease and other diseases were identified.