经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能

Diagnosis Effect of Transesophageal Echocardiography and Transthoracic Echocardiography in Patients with Cardio-embolic Cerebral Infarction

为分析经食道心脏超声(transesophageal echocardiography,TEE)和经胸壁心脏超声(transthoracic echocardiography,TTE)对心源性栓塞性脑梗死(cardio-embolic cerebral infarction,CECI)的诊断效能,本研究选取我院2018年5月~2019年12月收治的CECI患者65例,对患者分别实施TEE和TTE检查,比较不同检查方法对心脏疾病栓塞源的检出情况和不同检查方法的敏感性、特异性。结果显示,TEE对房间隔缺损、主动脉斑块、卵圆孔未闭、二尖瓣脱垂、二尖瓣增厚、房间隔瘤的检出率高于TTE(P<0.05);TEE联合TTE诊断CECI的敏感性和特异性均高于单独检查(P<0.05)。据此可知,TEE诊断CECI具有较高的检出率,而TTE存在漏检情况,TEE联合TTE有助于提高CECI的诊断准确率。

The diagnosis effect of transesophageal echocardiography(TEE)and transthoracic echocardiography(TTE)on cardio-embolic cerebral infarction(CECI)is analyzed in this study.65 patients with CECI who sought medical care in our hospital from May 2018 to December 2019 were enrolled.TEE and TTE examination were performed,and the detection of embolic sources of cardiac disease by different examinations were compared,as well as the sensitivity and specificity of different examinations.The results show that,the detection rate of TEE on the atrial septal defect,aortic plaque,patent foramen ovale,mitral valve prolapse,mitral valve thickening and atrial septal aneurysm were higher than those of TTE(P<0.05).The sensitivity and specificity of TEE combined with TTE in the diagnosis of CECI was higher than that of single examination(P<0.05).According to this,TEE has a high detection rate in the diagnosis of CECI,while TTE has false negative results.TEE combined with TTE can improve the diagnosis accuracy of CECI.