[1]张晓军,张新荣,唐文伟,等.心血管造影及超声检查在小儿先天性心脏病介入治疗中的联合应用研究[J].介入放射学杂志,2010,(03):177.
 ZHANG Xiaojun,ZHANG Xinrong,TANG Wenwei,et al.The combined use of cardioangiography and ultrasonography in interventional therapy for congenital heart disease in children[J].journal interventional radiology,2010,(03):177.
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心血管造影及超声检查在小儿先天性心脏病介入治疗中的联合应用研究()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年03期
页码:
177
栏目:
心脏介入
出版日期:
2010-03-15

文章信息/Info

Title:
The combined use of cardioangiography and ultrasonography in interventional therapy for congenital heart disease in children
作者:
张晓军张新荣唐文伟
210008南京南京医科大学附属南京儿童医院
Author(s):
ZHANG Xiao-junZHANG Xin-rongTANG Wen-weiZUO Wei-songLU Wen-yan.
Nanjing Children's Hospital,Nanjing Medical University,Nanjing210008,China
关键词:
先天性心脏病心血管造影超声检查介入
分类号:
R541.1
文献标志码:
A
摘要:
目的评价心血管造影与超声检查在小儿先天性心脏病介入治疗中的应用价值及其限度,探讨联合应用的指导意义。方法162例经超声筛选的先天性心脏病患儿,其中室间隔缺损(VSD)50例、动脉导管未闭(PDA)96例、肺动脉狭窄(PS)16例,介入术前均行心血管造影检查并测量缺损和狭窄处直径,重复超声检查,用配对t检验统计方法比较其差异;介入术后重复造影及超声检查评价封堵器位置、球囊扩张效果等。结果心血管造影及超声检查对小儿先天性心脏病均能明确诊断,对其部位、形态均能良好显示。上述两种方法测量50例VSD缺损直径分别为(4.93±2.73)mm和(5.66±2.77)mm,两者差异无统计学意义(P>0.05);测量96例PDA最窄处直径分别为(3.22±1.45)mm和(3.96±1.42)mm,两者差异有统计学意义(P<0.05);测量16例PS瓣环直径,分别为(16.16±4.26)mm和(17.94±5.50)mm,两者差异无统计学意义(P>0.05)。VSD术中超声监测发现封堵器影响瓣膜开闭者9例,并经超声监测下重新调整位置直至正常。VSD及PDA介入术后造影共发现残余细小分流7例,24h后超声检查残余细小分流全部消失。16例PS患儿经球囊扩张后,右室-肺动脉压差均较术前下降超过50%,达到临床治疗标准。162例中除3例外均成功施行介入治疗。结论在小儿先天性心脏病介入治疗中病变直径测量与封堵器选择需以造影检查为标准,但在介入术前病例筛选及术后疗效评价中,超声检查更具优势。

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备注/Memo

备注/Memo:
收稿日期:2009-11-09
更新日期/Last Update: 2010-03-15