摘要
目的比较经胸超声心动图与经食管超声心动图分别联合右心声学造影在卵圆孔未闭封堵术前评估中的应用价值。方法抽取2018年7月至2021年7月郑州大学附属洛阳市中心医院收治的拟行卵圆孔未闭封堵术治疗的31例患者,均行经胸超声心动图与经食管超声心动图联合右心声学造影。比较两种方法卵圆孔未闭检出率、右向左分流半定量分级、检查后并发症发生率。结果经食管超声心动图联合右心声学造影卵圆孔未闭检出率(87.10%,27/31)高于经胸超声心动图联合右心声学造影(64.52%,20/31),P<0.05。经食管超声心动图联合右心声学造影右向左分流半定量分级1级比例(16.13%,5/31)低于经胸超声心动图联合右心声学造影比例(45.16%,14/31),但3级比例(54.84%,17/31)高于经胸超声心动图联合右心声学造影比例(22.58%,7/31),P<0.05。经食管超声心动图与经胸超声心动图联合右心声学造影卵圆孔封闭成功率比较差异未见统计学意义(P>0.05)。经食管超声心动图与经胸超声心动图联合右心声学造影检查后并发症发生率比较差异未见统计学意义(P>0.05)。结论与经胸超声心动图联合右心声学造影比较,经食管超声心动图联合右心声学造影应用于卵圆孔未闭封堵术前评估,可为手术治疗提供指导,且具有安全性。
Objective To compare the application value of transthoracic echocardiography and transesophageal echocardiography combined with right heart contrast echocardiography in preoperative evaluation of patent foramen ovale closure.Methods Thirty-one patients who planned to undergo closure of patent foramen ovale in Luoyang Central Hospital Affiliated to Zhengzhou University from July 2018 to July 2021 were selected as research objects.Transthoracic echocardiography and transesophageal echocardiography combined with right heart contrast echocardiography were performed on all selected patients.The detection rate of patent foramen ovale,semi-quantitative grading of right-to-left shunt and complication rate after examination were compared between the two methods.Results The detection rate of patent foramen ovale by transesophageal echocardiography combined with right heart contrast echocardiography(87.10%,27/31)was higher than that detected by transthoracic echocardiography combined with right heart contrast echocardiography(64.52%,20/31),P<0.05.The detection rate of grade 1 right-to-left shunt by transesophageal echocardiography combined with right heart contrast echocardiography(16.13%,5/31)was lower than that of transthoracic echocardiography combined with right heart contrast echocardiography(45.16%,14/31),however,the detection rate of grade 3 right-to left shunt by transesophageal echocardiography combined with right heart contrast echocardiography(54.84%,17/31)was higher than that detected by transthoracic echocardiography combined with right heart contrast echocardiography(22.58%,7/31),P<0.05.There was no significant difference in comparison of the success rate of foramen ovale closure with transesophageal echocardiography and transthoracic echocardiography,in combination with right heart contrast echocardiography(P>0.05).There was no significant difference in complication rate between transesophageal echocardiography combined with right heart contrast echocardiography and transthoracic echocardiography combined with right heart contrast echocardiography(P>0.05).Conclusions Compared with transthoracic echocardiography combined with right heart contrast echocardiography,transesophageal echocardiography combined with right heart contrast echocardiography,in the patent foramen ovale closure,is beneficial to ensure effective preoperative diagnosis,provide guidance for surgical treatment,and has safety.
作者
范亚娟
张社芳
姬智晓
吕彬彬
Fan Yajuan;Zhang Shefang;Ji Zhixiao;Lyu Binbin(Department of Ultrasound,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471009,China)
出处
《中国实用医刊》
2023年第7期87-90,共4页
Chinese Journal of Practical Medicine
关键词
卵圆孔未闭
经胸超声心动图
经食管超声心动图
右心声学造影
Patent foramen ovale
Transthoracic echocardiography
Transesophageal echocardiography
Right heart contrast echocardiography
