经食道三维超声心动图在心脏疾病诊断中的应用

Application of Transesophageal Three-Dimensional Echocardiography in the Diagnosis of Cardiac Diseases

目的:评价经食道超声心动图(TEE)对临床心脏疾病的诊断价值。方法:将2018年11月至2020年7月在大理大学第一附属医院行TEE与经胸超声心动图(TTE)的患者208例纳入研究,观察比较两种检查诊断结果的检出率及对房间隔病变诊断的差异性。结果:TEE对房间隔缺损(ASD)、卵圆孔未闭(PFO)、房间隔膨出瘤、心内血栓、动脉导管未闭、瓣膜病变、室间隔缺损及左心房黏液瘤的检出率高于TTE,差异有统计学意义(P<0.05);TEE对房间隔病变诊断敏感性及特异性高于TTE。结论:TEE可以提高先天性心血管疾病、心脏瓣膜病、心腔内肿物及血栓诊断的准确率,降低误诊率。

Objective:To assess the value of transesophageal echocardiography(TEE)in clinical diagnosis of heart disease.Methods:208 patients who underwent TEE and transthoracic echocardiography(TTE)in the First Affiliated Hospital of Dali University from November 2018 to July 2020 were included in the study to observe and compare the detection rate of the two diagnostic results and the difference in the diagnosis of atrial septal disease.Results:TEE had higher detection rates than TTE for atrial septal defect(ASD),patent foramen ovale(PFO),atrial septal aneurysm,intracardiac thrombus,patent ductus arteriosus,heart valve disease,ventricular septal defect and left atrial myxoma,the differences were statistically significant(P<0.05);TEE was more sensitive and specific to the diagnosis of atrial septal lesions than TTE.Conclusion:TEE can improve the accuracy of diagnosis of congenital cardiovascular disease,heart valve disease,intracardiac tumors and thrombus,and reduce the rate of misdiagnosis.