超声心动图在老年先天性心脏病中的诊断价值及对介入封堵术的干预效果评估

Diagnostic value of echocardiography in congenital heart disease in the elderly and the intervention effect evaluation on transcatheter closure

目的探讨超声心动图在老年先天性心脏病中的诊断价值及对介入封堵术的干预效果评估。方法选取2019年12月至2020年12月我院收治的100例疑似老年先天性心脏病患者作为研究对象,采取超声心动图综合评估,对确诊患者给予介入封堵术治疗。分析超声心动图对先天性心脏病的诊断准确率、效能;比较患者术前、术后的心功能指标、心脏结构指标、三尖瓣及二尖瓣环运动位移指数。结果超声心动图检出先天性心脏病28例,占比28.00%;超声心动图对先天性心脏病的诊断准确率为93.33%。超声心动图对先天性心脏病的诊断灵敏度为93.33%,特异度为100.00%,误诊率为0%,漏诊率为6.67%。先天性心脏病患者术后左心室射血分数高于术前,左心室舒张末期内径、左心室收缩末期内径小于术前,差异具有统计学意义(P<0.05)。先天性心脏病患者术后左心室后壁厚度小于术前,右心室前壁厚度大于术前,差异具有统计学意义(P<0.05)。先天性心脏病患者术后三尖瓣及二尖瓣环运动位移指数小于术前,差异具有统计学意义(P<0.05)。结论超声心动图能有效反映老年先天性心脏病患者介入封堵术前、术后的心脏结构与心功能,且其对老年先天性心脏病的诊断效能较好,值得在临床中推广及运用。

Objective To explore the diagnostic value of echocardiography in congenital heart disease in the elderly and the intervention effect evaluation on transcatheter closure.Methods A total of 100 elderly patients with suspected congenital heart disease admitted in our hospital from December 2019 to December 2020 were selected as the research objects.Comprehensive evaluation of echocardiography was adopted,and the patients with contirmed diagnosis was treated with transcatheter closure.The diagnostic accuracy and efficiency of echocardiography in congenital heart disease were analyzed;the cardiac function indexes,cardiac structure indexes,tricuspid and mitral annular motion displacement indexes before and after surgery were compared.Results The echocardiography detected 28 cases of congenital heart disease,accounting for 28.00%;the diagnostic accuracy of echocardiography in congenital heart disease was 93.33%.The diagnostic sensitivity of echocardiography in congenital heart disease was 93.33%,the specificity was 100.00%,the misdiagnosis rate was 0%,and the missed diagnosis rate was 6.67%.After surgery,the left ventricle ejection fraction of patients with congenital heart disease was higher than that before surgery,the left ventricular end diastolic dimension and left ventricular end systolic dimension were smaller than those before surgery,and the differences were statistically significant(P<0.05).After surgery,the left ventricular posterior wall thickness of patients with congenital heart disease was smaller than that before surgery,the right ventricular anterior wall thickness was greater than that before surgery,and the differences were statisticallysignificant(P<0.05).After surgery,the tricuspid and mitral annular motion displacement indexes of patients with congenital heart disease were smaller than those before surgery,and the differences were statistically significant(P<0.05).Conclusion The echocardiography can effectively reflect the cardiac structure and function of the congenital heart disease in the elderly before and after transcatheter closure,and it has a good diagnostic efficiency on congenital heart disease in the elderly,which is worthy of promotion and application in clinic.