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·1882 · 南方医科大学学报（J South Med Univ ） 2011;31(11) ·临床研究· 比较经食管实时三维和二维超声心动图评价二尖瓣反流功能解 剖的准确性 王 瑶，高长青，沈岩松，姜胜利，任崇雷 解放军总医院外科临床部心血管外科，北京 100853 摘要：目的 比较经食管实时三维超声心动图(Live-3D-TEE) 和经食管二维超声心动图(2D-TEE) 评价二尖瓣(mitral valve, MV)反流功能解剖的准确性。方法 选取因重度MV 反流拟行外科治疗的38 例住院患者为研究对象进行前瞻性研 究。从以下3 方面评价MV 反流功能解剖：(1) 病因；(2) 瓣叶病变；(3) 病变部位。以外科医生术中所见作为“金标准”，确 定Live-3D-TEE 和2D-TEE 评价MV 反流功能解剖的准确性。结果 (1) Live-3D-TEE 和2D-TEE 评价MV 反流病因总的 准确性分别为94.7%和89.5% ，两者差异无显著性意义(P=0.09)。(2) Live-3D-TEE 评价MV 瓣叶病变总的准确性(93.2%) 明显高于2D-TEE (88.6%) ，两者差异有显著性意义(P=0.001)。(3) Live-3D-TEE 评价病变部位总的准确性(93.3%)明显 高于2D-TEE (86.7%) ，两者差异有显著性意义(P=0.000)。结论 Live-3D-TEE 和2D-TEE 均可准确评价MV 反流病因；但 在评价瓣叶病变及病变部位方面，Live-3D-TEE 较2D-TEE 具有更高的准确性。 关键词：经食管实时三维超声心动图；经食管二维超声心动图；二尖瓣反流；功能解剖 中图分类号：R542.51 文献标志码：A 文章编号：1673-4254（2011）11-1882-03 Live three-dimensional and two-dimensional transesophageal echocardiography for evaluating functional anatomy of mitral regurgitation: a comparative study WANG Yao, GAO Chang-qing, SHEN Yan-song, JIANG Sheng-li, REN Chong-lei Department of Cardiovascular Surgery, Clinical Division of Surgery, General Hospital of PLA, Beijing 100853, China Abstract: Objective To compare the accuracy of live three-dimensional (Live-3D-TEE) and two-dimensional transesophageal echocardiography (2D-TEE) in the evaluation of functional anatomy of mitral regurgitation. Methods Thirty-eight consecutive patients with severe mitral regurgitation were enrolled prospectively. The accuracy of Live-3D-TEE and 2D-TEE for functional assessment of mitral regurgitation was evaluated against surgical findings. Results The accuracy in etiological assessment of