经食道超声心动图在脊柱矫形手术中的应用进展

Advances of Application of Transesophageal Echocardiography in Spinal Correction Surgery

脊柱矫形手术常发生严重的血流动力学紊乱,经食道超声心动图(transesophageal echocardiography,TEE)能直视心脏结构,评估心功能,在循环紊乱的诊断、鉴别诊断等方面较其他常规血流动力学监测手段具有独特优势,因此,其在脊柱矫形手术中的应用日益增多。本文就TEE在脊柱矫形手术患者血容量、心功能、气体栓塞3个方面的监测进展进行文献总结。

Severe hemodynamic disturbance often occurs in spinal correction surgery. Transesophageal echocardiography（ TEE） can identify heart structure and evaluate cardiac functions,which has an unique advantage over other routine hemodynamic monitoring methods in the diagnosis and differential diagnosis of circulatory disturbance. Therefore,it is gaining popularity in spinal correction surgery. This review summarized advances of application of TEE in spinal correction surgery. Monitoring of blood volume,cardiac functions,and air embolism are mainly summarized in the review.