实时三维超声心动图对先天性主动脉瓣二叶化畸形的诊断价值及其临床应用分析

Diagnostic value and clinical application of real-time three-dimensional echocardiography for congenital aortic valve bilobal malformation

目的研究实时三维超声心动图(RT-3DE)对先天性主动脉瓣二叶化畸形的诊断价值及其临床应用。方法选取2017年4月-2018年12月来我院就诊的50例先天性主动脉瓣二叶化畸形患者作为研究对象,使用飞利浦EPIQ7C超声诊断仪,对入组患者分别实施经胸二维超声心动图(2DE)检查和实时三维超声心动图检查,观察分析患者的诊断情况以及超声心动图特征,并与手术结果进行对比分析,明确实时三维超声心动图检查的效果与价值。结果入组的50例先天性主动脉瓣二叶化畸形患者均得到手术结果确诊,经胸二维超声心动图检查结果有37例和手术检查结果相同,诊断准确率为74.00%;实时三维超声心动图检查和手术结果一致,诊断准确率为100.00%,其中的横裂式、斜裂式和纵裂式的例数均与手术结果相同,实时三维超声心动图检查诊断效果显著;检查中有3例患者经2DE检查出现不清晰赘生物,经RT-3DE检查确定属于附着性赘生物。结论 RT-3DE应用于先天性主动脉瓣二叶化畸形诊断当中,能够凭借其三维立体、迅速准确的检查优势,更加全面、准确地检查瓣膜结果,从而获得更加丰富的检查诊断信息,具有较高的应用价值。

Objective To study the diagnostic value and clinical application of real-time three-dimensional echocardiography for congenital aortic valve bilobal malformation.Methods In this study,50 patients with congenital aortic valve bilobal malformation admitted from April 2017 to December 2018 were selected as subjects.The EPIQ7 Cultrasound diagnostic apparatus from Philips was used to perform the intervention on the patients.Transthoracic two-dimensional echocardiography and real-time three-dimensional echocardiography were performed to observe and analyze the patient′s diagnosis and echocardiographic features,and to compare the results with the surgical results to determine the effect and value of real-time three-dimensional echocardiography.Results All the 50 patients with congenital aortic valve lobular malformation were diagnosed by surgical results.The results of transthoracic two-dimensional echocardiography were the same in 37 cases and the surgical examination results were 74.00%.Echocardiography and surgical results were consistent,the diagnostic accuracy was 100.00%,and the number of transverse,oblique and longitudinal fissures were the same as the surgical results.The real-time three-dimensional echocardiography was effective.Three patients had unclear neoplasms by 2 DE examination and were confirmed to be adherent neoplasms by RT-3 DE examination.Conclusion RT-3 DE is used in the diagnosis of congenital aortic valve bilobal malformation.With its three-dimensional,rapid and accurate examination advantages,it can more comprehensively and accurately check the valve results,thus obtaining more abundant examination and diagnosis information.Higher application value.