实时三维超声心并动图对三尖瓣下移畸形的诊断价值_范英赵香芝高玉丽等.pdfVIP

临床超声医学杂 ·55 · ·经验交流· 实时三维超声心动图对三尖瓣下移畸形的诊断价值 范 英 赵香芝 高玉丽 伍长学 摘 要 目的 探讨实时三维超声心动图对三尖瓣下移畸形的诊断价值。方法 超声心动图诊断为三尖瓣下移 畸形的患者18例，使用实时三维超声显示三尖瓣的结构、形态、瓣膜反流情况，以及房化右心室和右心室的形态、功能，然 结果 三维超 后进行三尖瓣下移畸形和三尖瓣前叶功能（ESS）分级，并与手术结果进行对照。 声心动图显示18例患者中 结论 三维超声结合二维超声心动 合并房间隔缺损14例。手术证实三维超声诊断准确率100%。 图能准确显示三尖瓣下 移畸形，为手术医师提供更多的实用信息。 关键词 超声心动描记术，三维，实时；三尖瓣 ［中图法分类号］ ； ［文献标识码］ R540.45 R540.45 A Diagnostic value of ebstein malformation with real-time three-dimensional echocardiography FAN Ying ，ZHAO Xiangzhi ，GAO Yuli，WU Changxue Department of Ehocardiography ，Affiliated Hospital of Luzhou Medical College ，Sichuan 646000 ，China ABSTRACT Objective To explore the diagnostic value of ebstein malformation with real -time three -dimensional echocardiography. Methods Eighteen cases of ebstein abnormality diagnosed with conventional two -dimensional echocardiography ，then real-time three-dimensional echocardiography was used to show the tricuspid valve structure ，morphology and confirmed by surgery. Results Two cases were misdiagnosed using two-dimensional ultrasound. The rest 16 cases of ebstein abnormality included 2 cases of ESS graded A ，11 cases of ESS graded B，3 cases of ESS graded C. The tricuspid regurgitation was found, including 2 mild cases ，9 moderate cases and 5 severe cases. Among al