川崎病冠状动脉病变的超声检测价值

The value of ultrasonography monitoring coronary arterial lesions in kawasaki disease

目的探讨川崎病冠状动脉病变的超声检测价值。方法利用彩色多普勒超声诊断技术检测川崎病患儿冠状动脉内径,观察冠状动脉壁厚度、回声强度及有无动脉瘤形成。结果本组28例川崎病患者,检出冠状动脉病变13例(47%),其中冠状动脉扩张9例(32%),冠状动脉瘤3例(11%),巨大冠状动脉瘤1例(4%),治疗后病变冠状动脉恢复正常。结论超声是检测川崎病冠状动脉病变的有效手段,并能观察川崎病患儿治疗过程中冠状动脉的变化情况,但对冠状动脉远端损害的检出有一定困难。

Objective To evaluate the value of uhrasonography in monitoring coronary arterial lesions in Kavasaki disease. Methods The inner diameter ,thickness , echo intensity and aneurysm aneurysm of aeteria coronaria were detected in patients with Kawasaki disease. Results Of 28 children with Kawasaki disease, 13 cases （47%） complicated with coronary artery lesions,including coronary dilatation 9, coronary aneurysam 3 , enormous coronary aneurysm 1, After clinical treatment, coronary artery lesion recovered. Conclusion Ultrasonography examination is valuable to diagnose coronary arterial lesions in KAvasaki disease, but it is difficult to find out the distal coronary artery lesions.