彩色多普勒超心动图在主动脉窦瘤手术前后的应用

Preoperative and Postoperative Assessing for Aortic Sinus Aneurysm by Color Doppler Echocardiography

目的 探讨彩色多普勒超声心动图（ＣＤＥ）在主动脉窦瘤（ＡＳＡ）手术前后的应用价值。方法 对２９例患者术前术后进行ＣＤＥ检查。结果 ＣＤＥ对２８例主动脉窦瘤破裂（ＲＡＳＡ）作出正确诊断，准确率为９６．６％；对合并症室缺（ＶＳＤ）确诊１２例，准确率６６．７％；ＣＤＥ估计破口直径与手术所测相近；术后ＣＤＥ准确检查出１例窦瘤补片开裂，并进行再次手术。结论 ＣＤＥ是ＲＡＳＡ术前评价和术后随访具有价值的无创技术。

Objective:To assess the value of Color Doppler Echocardiography(CDE)in the examination of aortic sinus aneurysm(ASA)before and after operation.Methods:29 patients were examined preoperatively and postoperatively by CDE.Results:28 patients were diagnosed correctly by CDE with accuracy 96 6%.12 cases(66 7%)of ventricular septal defect(VSD)were correctly detected.The rupture diameter of ASA estimated by CDE was similar to that determined by operation.One case was found aortic prosthesis dehiscence after operation and then operated again.Conclusions:CDE is a noninvasive and valuable method for preoperative assessment and postoperative follow up of RASA.