经食管超声心动图在心血管疾病手术中的应用价值

Value of Application of Transesophageal Echocardiography in Cardiovascular Surgery

目的：探讨经食管超声心动图（TEE）在心血管疾病手术中的应用价值。材料与方法：在28例心血管疾病患者中进行了术中TEE检查。结果：术中TEE检查可为手术方式的选择提供直接可靠的依据、及时观察冠脉旁路术中室壁运动改变、主动脉瓣置换术后瓣膜功能状态、胸主动脉层的破口位置和数目及人工血管吻合口情况、连续实时监测术中心功能状态、及时检出术中并发症并指导合理的治疗方案。结论：术中TEE检查可提高手术成功率、减少并发症和死亡率，值得进一步推广应用。

Purpose:This study was to assess the usefulness of transesophageal echocardiography (TEE ) incardial surgery. Materials and methods:TEE were performed simultaneously during cardiovascular surgery in 28patients. Results: TEE had remarkable value in following aspects: (1)provided the reliable diagnostic informationfor the selection of surgery methods; (2)assessed the effects of aortic valvular replacement,atrioseptopexy in atrialseptal defect and artificial vascular graft in aortic dissection; (3)observated the change of left ventricular wall motion in coronary artery bypass graft; (4)monitored the left ventricular function during operation in all patients; (5)detected complication related to surgery immediatedly and directed properly treatment methods during surgery.Conclusion:TEE provide a reliable method for monitoring the cardiovascular surgery.