论文部分内容阅读
目的对照手术或心导管造影结果探讨超声诊断完全性大动脉转位(TGA)的价值,提高超声心动图的首次检出率。方法回顾分析54例TGA经手术及心导管造影证实的TGA的临床资料,回顾分析其超声心动图表现。结果心外科手术治疗39例,其中37例为超声诊断TGA,符合率94.9%。2例误诊右室双出口;心导管及心血管造影诊断15例,其中14例超声诊断为TGA,符合率93.3%,1例超声误诊为右室双出口。结论超声心动图对TGA具有无创、安全、准确及可重复应用的优点,且有特异性诊断价值。
Objective To evaluate the value of ultrasonography in diagnosis of complete aortic transposition (TGA) and improve the first detection rate of echocardiography by contrast surgery or cardiac catheterization. Methods The clinical data of 54 cases of TGA confirmed by operation and cardiac catheterization were retrospectively analyzed. The echocardiographic findings were retrospectively analyzed. Results Thirty-nine cases were treated by cardiac surgery, of which 37 cases were TGA diagnosed by ultrasound. The coincidence rate was 94.9%. 2 cases misdiagnosed right ventricle double outlet; cardiac catheterization and cardiovascular angiography in 15 cases, of which 14 cases of TGA ultrasound diagnosis, the coincidence rate of 93.3%, 1 case of ultrasound misdiagnosed as double outlet right ventricle. Conclusion Echocardiography has the advantages of noninvasive, safe, accurate and repeatable application to TGA, and has the value of specificity diagnosis.