200例先天性心脏病的彩色多普勒超声心动图诊断的分析

Analysis of coloure flow doppler echocardiography in 200 patients with congenital heart disease

目的分析200例先天性心脏病彩色多普勒超声心动图的资料,提高临床医师对先天性心脏病的认识,以便指导临床合理的检查与治疗。方法对200例临床疑诊先天性心脏病患者应用彩色多普勒超声心动图进行多切面扫查,观察心脏各房室大小,判定有无肺动脉高压形成等。结果200例先天性心脏病患者中,年龄6～68岁,男89例,女111例;18岁以下者54例（27%）,18～44岁者115例（58%）,45岁以上者31例（15%）。房间隔缺损62例,室间隔缺损55例,动脉导管未闭19例,室间隔膨出瘤15例,其他类型先天性心脏病49例。47例进行经食管超声（TEE）检查。38例患者进行了手术或介入治疗。结论彩色多普勒超声心动图能够准确诊断各种类型的先天性心脏病,有助于临床进行介入和手术治疗。

Objective To evaluate the prevalence of congenital heart disease and to determine the age distribution of congenital heart disease by coloure flow doppler echocardiography and to recognize the importance of clinically adult congenital heart disease.Methods Two hundred patients with suspected congenital heart disease underwent colour flow doppler echocardiogram with muti-sectional approach in echocardiography laboratory.Pulmonary hypertension were assessed by tricuspide regurgitation gradient.Results Two hundred patients had congenital heart disease,aged from 6～68 years.Male 89,female 110.54（27%） patients were less than 18 years,111（58%） patients were aged from 18～44 years,31（16%） patients were older than 45 years.47 patients underwent transesphogeal echocardiography.62 atrial septal defect,55 ventricular septal defect,19 persistent ductus arteriosu（PDA）.15 ventricular septal aneurysm,49 other congenital heart disease.only 38 patients underwent operation or interventional treatment.Conclusion Modern colour flow doppler echocardiography is an important approach for the diagnosis of adult congenital heart disease.Appropriate treatment is important for the life quality and prolonge life.