Ebstein畸形的彩色多普勒超声心动图特征及规律性研究

Study on characteristics and regularity of Ebstain's anomaly by color Doppler echocardiography

目的探讨Ebstein畸形的彩色多普勒超声心动图(CDE)特征及规律性。方法CDE检查100例Ebstein畸形患者,总结Ebstein畸形CDE特征及规律性;21例经心血管造影对照,所有患者均经手术证实。结果根据CDE特征对98例做出正确诊断,诊断准确率98.0%,1例误诊孤立性右心室发育不全,漏诊1例。结论Ebstein畸形CDE特征及规律性明显,CDE对Ebstein畸形有特异性诊断价值,但对合并继发孔型房间隔缺损和卵圆孔未闭诊断有一定难度。

Objective To probe into the characteristics and regularity of Ebstein＇ s anomaly by coler Doppler echocardiography （CDE）. Methods One hundred patients with Ebstein＇s anomaly were examined with CDE, 21 cases underwent angiocardiography and all cases were confirmed by operation. Results Ninety - eight cases of Ebstein＇ s anomaly were accurately diagnosed based on the CDE characteristics with diagnosis accuracy of 98.0%, lcase was misdiagnosed as isolated hypoplastic right ventricle and 1 case was misdiagnosed as atrial septal defect （ASD） and ventriclar septal defect. Conclusion The CDE characteristics and regularity of Ebstein＇s anomaly are obvious, and CDE has specific diagnostic value for Ebstein＇s anomaly. But it is, to some extent, difficult to diagnose Ebstein＇ s anomaly if combined d with ASD and POF.