经胸超声心动图在急性主动脉夹层DeBakey分型诊断中的应用价值

Application value of transthoracic echocardiography in diagnosis of DeBakey classification of acute aortic dissection

目的探讨经胸超声心动图在急性主动脉夹层DeBakey分型诊断中的应用价值。方法回顾性分析2015年6月至2020年6月广西壮族自治区人民医院收治的71例急性主动脉夹层患者的临床资料,分析急诊经胸超声心动图检查与术中诊断对主动脉夹层DeBakey分型诊断的一致性情况。结果Kappa一致性检验结果显示,急诊经胸超声心动图检查与术中诊断对主动脉夹层分型结果具有良好的一致性(Kappa=0.872,P=0.000),符合率为92.96%(66/71)。结论经胸超声心动图可较准确地对急性主动脉夹层DeBakey分型进行诊断,能够为临床医师提供病变累及范围、主动脉病变等信息,对临床治疗及术式的选择有重要的指导作用。

Objective To explore the application value of transthoracic echocardiography in diagnosis of DeBakey classification of acute aortic dissection.Methods The clinical data of 71 patients with acute aortic dissection admitted to the People′s Hospital of Guangxi Zhuang Autonomous Region from June 2015 to June 2020 were retrospectively analyzed.The consistency between emergency transthoracic echocardiography and intraoperative diagnosis for DeBakey classification of aortic dissection was analyzed.Results The results of Kappa consistency test showed that emergency transthoracic echocardiography and intraoperative diagnosis had a good consistency in the classification of aortic dissection(Kappa=0.872,P=0.000),and the coincidence rate was 92.96%(66/71).Conclusion Transthoracic echocardiography can diagnose DeBakey classification of acute aortic dissection more accurately,and can provide clinicians with information on the scope of lesion involvement and aortic lesions,and has an important guiding role in the selection of clinical treatments and surgical procedures.