镜像右位心的超声诊断

The Ultrasonic Diagnosis of Mirror-image Dextrocardia

目的:评价彩色多普勒超声心动图对镜像右位心伴心内畸形的诊断价值。方法:分析总结29例镜像右位心彩色多普勒超声图表现。结果:除内脏反位、心脏反位外,21例患者合并心内畸形,包括房间隔缺损5例,室间隔缺损4例,法洛四联症4例,法洛五联症2例,矫正型大动脉转位并肺动脉瓣狭窄1例,右室双出口并永存左上腔静脉1例,完全性心上型肺静脉异位引流并房间隔缺损1例,法洛四联症伴冠状动脉畸形1例,房间隔缺损并二尖瓣脱垂1例,单心室、房间隔缺损、大动脉异位、动脉导管未闭1例。结论:彩色多普勒是镜像右位心并心内畸形的无创性首选检查方法,能为临床诊断治疗提供客观影像学依据。

Objective：To evaluate the value of color doppler echocardiography in the diagnosis of mirror-image dextrocar-dia and intracardial malformations. Methods：The ultrasound images of the 29 cases of mirror-image dextrocardia that di-agnosed by our color doppler from 2008 to 2013 were collected and analyzed. Results：In addition to the visceral trans, heart,trans,21 patients merged intracardial malformations,including 5 cases of atrial septal defect,4 cases of ventricular septal defect,4 cases of tetralogy of Fallot,2 cases of pentalogy of Fallot,1 case of corrected aorta transposition and pul-monary stenosis,1 case of double outlet of right ventricular and persistent left superior vena cava,1 case of total anoma-lous pulmonary venous drainage of supracardiac type and atrial septal defect,1 case of tetralogy of fallot with coronary ar-tery malformation,1 case of atrial septal defect with mitral valve prolapse,1 case of single ventricle with atrial septal de-fect,ectopic main artery,and patent ductus arteriosus. Conclusion：Color doppler echocardiography is a noninvasive pre-ferred examination method and can provide an objective imaging basis for clinical diagnosis and treatment in the diagnosis of mirror-image dextrocardia with intracardial malformations.