主肺动脉间隔缺损的超声心动图诊断价值

The value of echocardiography in diagnosis of aortopulmonary septal defect

目的总结超声心动图对主肺动脉间隔缺损(APSD)的诊断经验,提高超声诊断的准确率。方法11例主肺动脉间隔缺损的患者,男性8例,女性3例,术前超声心动图检查结果与心导管检查及术后结果对照。结果术前超声心动图检查确诊8例,Ⅰ型1例,Ⅱ型3例,Ⅲ型4例,漏诊3例,其中心导管证实1例为Ⅱ型,2例为Ⅲ型。9例患者合并其他心内畸形。结论应用合理的临床思维、特殊的超声切面及方法,超声心动图可作为一种无创、安全、可重复的检查手段,对此病做出正确的诊断及分型。

Objective To study the value of echocardiography in diagnosis of aortopulmonary septal defect （APSD）. Methods Eleven patients with APSD underwent echocardiography from January 2002 to April 2006, echocardiographic results were compared with the operation results and cardiac catheterization results. Results Correct diagnosis of APSD was made in 8 cases before operation. According to Richardson＇ s classification, type I was found in 1 patient; type 11 in 3 and type m in 4, misdiagnosis was made in 3,among them one belongs to type 11 ,two belong to type re,an verified by cardiac catheterization. Nine patients of them complicatod with intracardiac malformations. Conelusion APSD is a rare congenital heart disease, echocardiography can provide accurate diagnosis and classification. It is a noninvasive, safe , and repeatable method.