川崎病冠状动脉损害的超声研究现状

Research of echocardiography on coronary artery lesion of Kawasaki disease

川崎病冠状动脉损害是影响患儿预后的主要因素。冠状动脉损害可表现为动脉炎、动脉扩张、动脉瘤和动脉狭窄等。超声心动图检查是检测川崎病并发冠状动脉损害的首选方法，尤其对冠状动脉扩张和冠状动脉瘤形成的诊断具有特异性，能清晰地显示冠状动脉内径及扩张程度。随着超声设备的升级及相关新技术的应用，超声心动图对川崎病的早期诊断、疗效观察、评估预后和长期随访发挥着愈来愈重要的作用。

Coronary artery lesions caused by Kawasaki disease have main effect to its prognosis. The lesions can be showed as arteriitis, arteriectasis, aneurysm and arterial stenosis stenosis. Ultrasonic cardiogra- phy is the first choice to detect the lesions, especially in dilatation and aneurysm formation of the coronary ar- tery. It can definitely show the diameter and the degree of dilatation of the coronary artery. With the develop- ment of ultrasonic equipments as well as the applications of new technique, ultrasonic cardiography is playing an important role in Kawasaki disease of early diagnosis, therapeutic effect, prognosis estimation and longterm follow-up.