| 王少春,陈东风,胡军利,何敬海.经食管超声心动图在先天性心脏病创伤性治疗中的临床应用价值[J].济宁医学院学报,2011,(3):172-175 |
| 经食管超声心动图在先天性心脏病创伤性治疗中的临床应用价值 |
| The value of transesophageal echocardiography during traumatic treatment for congenital heart disease |
| 投稿时间：2011-05-04 |
| DOI：10.3969/j.issn.1000-9760.2010.06.008 |
| 中文关键词: 经食管超声心动图|先天性心脏病|创伤性治疗 |
| 英文关键词: Intraoperative transesophageal echocardiography|Congenital heart disease|Traumatic treatment |
| 基金项目: |
| 作者 | 单位 | | 王少春 | 济宁医学院附属医院, 山东济宁 272029 | | 陈东风 | 济宁医学院附属医院, 山东济宁 272029 | | 胡军利 | 济宁医学院附属医院, 山东济宁 272029 | | 何敬海 | 济宁医学院附属医院, 山东济宁 272029 |
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| 中文摘要: |
| 目的 探讨经食管超声心动图(transesophageal echocardiography,TEE)在先天性心脏病(congenital heart disease,CHD)外科矫治手术和内科介入封堵术前及术中的应用价值。方法 对113名CHD患者行术前常规经胸超声心动图(transthoracic echocardiography,TTE)和术前TEE检查,应用术中TEE(intra-operative TEE,ITEE)即时评价疗效,并就术中所见与术前TTE和TEE检查结果相对照,同时观察外科手术与介入治疗术中室间隔运动幅度的变化,对室间隔运动异常的患者进行术后随访,评价不同创伤性治疗方式对室间隔心肌损伤的程度。结果 TEE术前诊断准确率为98.23%,明显高于TTE(92.04%)。ITEE发现术中残余问题18例(15.93%),其中5例(27.78%)立即予以处理。ITEE发现修补手术室间隔运动幅度出现异常率为81.54%(53/65),介入封堵组未见室间隔运动异常病例,两种治疗方式致室壁运动异常有统计学意义。本组TEE插入无严重并发症发生。结论 TEE能提高CHD创伤性治疗的安全性和疗效,有效指导CHD创伤性治疗。 |
| 英文摘要: |
| Objective To explore the diagnosis value of TEE before and during the traumatic treatment of surgical correction and interventional transcatheter closure of patients with CHD.Methods Before the treatment routine TTE and TEE were performed in 113 patients with CHD.The curative effect of surgical correction and interventional transcatheter closure by ITEE was evaluated immediately.And the findings of preoperative TTE and TEE were compared with surgical findings.At the same time the abnormal movement of the IVS was observed combining the follow-up of the movement of the IVS.The myocardial impairment was evaluated the degree of the myocardial impairment caused by the different traumatic treatments.Results Preoperative TEE was more perfectly in accordance with surgical findings than TTE(98.23% vs 92.04%).In our study different residual problems in 18 cases(15.93%) were found by ITEE and 5 severe cases(27.78%) were resolved immediately.ITEE showed that the rate of the abnormal movement after repair of the VSD was 81.54%(53/65)and none was observed among patients after interventional transcatheter closure.It was statistically meaningful between those two therapies.No severe complication was found in the group with TEE treatment.Conclusion TEE make the traumatic treatments more safely and improve the curative effect in CHD as a guidance for traumatic treatments of CHD effectively. |
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