Berry综合征的超声心动图诊断价值分析及思路

The value of echocardiographic diagnosis of Berry syndrome

目的:通过总结Berry综合征超声心动图图像特征,评估超声心动图对Berry综合征的诊断价值及思路。方法:回顾性分析6例在我院经CT检查或手术确诊为Berry综合征患儿的超声心动图图像特征,并通过相关文献复习,对超声心动图诊断价值及思路进行总结和分析。通过心尖五腔心、胸骨旁大动脉短轴及肺动脉分支等多切面可探查主肺动脉间隔、室间隔、肺动脉分支等情况,胸骨上窝主动脉弓长轴切面可显示主动脉弓的情况。结果:6例Berry综合征均包括:主肺动脉间隔缺损(远端型)、右肺动脉异常起源于升主动脉、主动脉弓离断(A型)、室间隔完整,均合并动脉导管未闭,4例合并房间隔缺损(Ⅱ),1例合并卵圆孔未闭,其中1例漏诊右肺动脉异常起源于升主动脉,1例合并心外畸形(尿道下裂)。结论:超声心动图可作为Berry综合征的首选诊断方法,可合并心外畸形,但可能会发生漏诊,需要明确超声诊断思路。

Objec tive: By summarizing the echocardiography characteristics of Berry syndrome, the diagnostic value and thoughts of Berry syndrome were evaluated. Methods: The echocardiographic characteristics of six children diagnosed with Berry syndrome by CT examination or surgery in our hospital were retrospectively analyzed. The diagnostic value and thoughts of echocardiography were summarized and analyzed by reviewing relevant literature. The main pulmonary artery septum, ventricular septum, pulmonary artery branches and other conditions can be detected by multi-section view of apical five cavities,parasternal great artery short axis and pulmonary artery branch, and the condition of aortic arch can be displayed by long-axis view of superior thoracic aorta arch. Results: Six cases of Berry syndrome include: distal aortopulmonary septal defect, aortic origin of right pulmonary artery, interruption of aortic arch(type A), intact ventricular septum, and patent ductus arteriosus,combining with atrial septal defect in four cases, combining with patent foramen ovale in one case, one case with external cardiac malformation(hypospadias). One case of aortic origin of right pulmonary artery was missed. Conclusion: Echocardiography can be used as the preferred diagnostic method for Berry syndrome, which may be associated with extracardiac malformations. However, missing diagnosis may occur, which requires a clear idea of ultrasonic diagnosis.