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cTEE、cTCD及TEE对卵圆孔未闭的临床诊断价值 被引量:4
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作者 王恺婧 陈晨 倪显达 《温州医科大学学报》 CAS 2022年第9期747-751,共5页
目的:探讨经胸右心声学造影(cTTE)、经颅多普勒发泡试验(cTCD)及食道心超(TEE)等检查对卵圆孔未闭(PFO)的诊断价值。方法:回顾性分析比较140例温州医科大学附属第一医院成功行PFO封堵术患者(A组)与右心导管检查未见PFO患者(B组)的临床资... 目的:探讨经胸右心声学造影(cTTE)、经颅多普勒发泡试验(cTCD)及食道心超(TEE)等检查对卵圆孔未闭(PFO)的诊断价值。方法:回顾性分析比较140例温州医科大学附属第一医院成功行PFO封堵术患者(A组)与右心导管检查未见PFO患者(B组)的临床资料,包括临床基线资料、cTTE、cTCD及TEE。比较两组间在cTTE、cTCD分流量大小、TEE卵圆孔大小差异及cTTE气泡出现的时间差异,并绘制这些指标诊断PFO的ROC曲线。结果:cTTE下A组与B组比中-大量分流占比更大。在静息状态、瓦氏动作后和总评分情况下A组中-大量分流占比均显著大于B组(67.35%vs. 42.86%,P=0.04;100.00%vs. 71.42%,P<0.001;81.63%vs. 51.43%,P=0.004)。c TCD下A组与B组相比中-大量分流占比更大(75.90%vs. 19.35%,P <0.001)。TEE下A组与B组相比PFO裂隙更大(2.18±0.78 vs. 1.19±0.78,P<0.001)。用cTTE、cTCD、TEE等指标做PFO诊断的ROC曲线,结果提示cTCD、TEE两个指标ROC曲线下面积较大,具有较好的敏感度和特异度(P<0.05)。在cTTE气泡出现的时间方面,A组气泡出现时间小于等于5个心动周期的患者比例显著大于B组(73.47%vs.42.86%,P=0.007)。结论:c TCD、TEE检查对于PFO有较好的预测价值,综合价值优于cTTE检查。 展开更多
关键词 卵圆孔未闭 经胸右声学造影 经颅多普勒发泡试验 食道心超
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OMNIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IMAGING PLANES EXPLORATION 被引量:1
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作者 王国干 刘汉英 +1 位作者 程克正 孟宪强 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第1期41-44,共4页
One hundred and twenty-four patients with heart disease were examined by omniplane TEE in order to systematically research every views of omniplane TEE, and further explore anatomy and image feature of each view. The ... One hundred and twenty-four patients with heart disease were examined by omniplane TEE in order to systematically research every views of omniplane TEE, and further explore anatomy and image feature of each view. The result showed that omniplane TEE transducer can be rotated in probe from 0°to 180°.obtain many views at various angles behind the heart and fully demonstrate the structure and pathology of the heart and great vessels. It was useful for clinical diagnosis because of getting more information about the heart and great vessels. As omniplane TEE probe was little rotated in esophagus, it lessened esophagus stimulation. Meanwhile, it was suitable for three-dimensional reconstruction of left ventriculum. 展开更多
关键词 transesophageal echocardiography: echocardiography
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CLINICAL COMPLICATIONS AND SAFETY OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY:A REPORT OF 1552 EXAMINATIONS
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作者 王国干 程克正 +4 位作者 孟宪强 樊朝美 杨浣宜 刘汉英 蔡如升 《Chinese Medical Sciences Journal》 CAS CSCD 1998年第4期242-244,共3页
Method Fifteen hundred and fifty two patients with heart disease were examined with monoplane, biplane and omniplane TEE probe(including male 727, female 825;9~76 years old) During the s... Method Fifteen hundred and fifty two patients with heart disease were examined with monoplane, biplane and omniplane TEE probe(including male 727, female 825;9~76 years old) During the same period, 113 307 precordial echocardiographic examinations were performed in our laboratory The ratio between TEE and transthoracic Echo examines was 1:73 Result All different kinds of complication were occurred during TEE examination, including vomiting, minor mucus bleeding, laryngospasm, mandibular dislocation, angina pectoris, arrhythmia, even ventricular fibrillation and death The article suggested that there were five steps must be improved during TEE examination including instrument and patients preparation, local anesthesia, manipulation technique and TEE probes pattern Conclusion Although TEE is a semiinvasive technique and can cause some kinds of complication, it is a safe technique if the five steps are improved 展开更多
关键词 transesophageal echocardiography COMPLICATION
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CLINICAL APPLICATION OF OMNIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHY
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作者 王国干 刘汉英 +1 位作者 孟宪强 程克正 《Chinese Medical Sciences Journal》 CAS CSCD 1996年第3期177-179,共3页
One hundred and twenty-four patients with heart disease(75 cases of rheumatic heart disease,26 cases of congenital heart disease,13 cases of aortic disease and 10 cases of other disease)were examined by Omniplane tran... One hundred and twenty-four patients with heart disease(75 cases of rheumatic heart disease,26 cases of congenital heart disease,13 cases of aortic disease and 10 cases of other disease)were examined by Omniplane transesophageal echocardiography(TEE).The result showed that Omniplane TEE transducer can be rotated from 0°to 180°in probe and had the advantages of broader scope,obtaining more information,less stimulation to esophagus and easy to manipulate.It suggests that Omniplane TEE is a efficient technique in clinical diagnosis and can be extensively used in the future. 展开更多
关键词 transesophageal echocardiography ECHOCARDIOGRAPHY
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合并心脏卵圆孔未闭脑卒中12例临床特点分析 被引量:4
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作者 黄洋洋 卲蓓 +4 位作者 倪显达 杨炜宇 黄欢捷 王汉旻 王贞 《中国临床神经科学》 2011年第3期237-241,共5页
目的:探讨合并心脏卵圆孔未闭脑卒中患者的临床特点。方法:回顾性研究2008至2010年收治的合并心脏卵圆孔未闭的脑卒中12例患者的临床资料。结果:本组12例患者中,有高血压史2例、吸烟史3例。卵圆孔缺损≥2mm者10例(83.3%),年龄<55岁8... 目的:探讨合并心脏卵圆孔未闭脑卒中患者的临床特点。方法:回顾性研究2008至2010年收治的合并心脏卵圆孔未闭的脑卒中12例患者的临床资料。结果:本组12例患者中,有高血压史2例、吸烟史3例。卵圆孔缺损≥2mm者10例(83.3%),年龄<55岁8例(66.7%),有偏头痛病史3例(25.0%)。头颅MRI示梗死位于额叶皮质下及顶叶皮质下各7例(58.3%),前循环供血区7例(58.3%)。结论:合并心脏卵圆孔未闭的缺血性脑卒中患者发病年龄偏小,偏头痛病是其并发症;卵圆孔缺损≥2mm者易罹患脑卒中。 展开更多
关键词 卵圆孔未闭 脑梗死 食道心超
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MITRAL VALVE PAPILLARY FIBROELASTOMA:CASE REPORT
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作者 黄英 蒋米尔 Yves GLOCK 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2003年第2期129-131,共3页
Objective To evaluate the transesophageal echocardiography(TEE) and surgical treatment to cardiac papillary fibroelastomas (CPFE). Methods CPFE is a rare benign tumor occuring mainly in valves and often revealed by se... Objective To evaluate the transesophageal echocardiography(TEE) and surgical treatment to cardiac papillary fibroelastomas (CPFE). Methods CPFE is a rare benign tumor occuring mainly in valves and often revealed by serious cerebral, coronary and peripheral embolism or even sudden death. We report a case of mitral PFE diagnosed by transesophageal echocardiography (TEE), and surgical resection was performed. Results Surgical intervention is successful, and the follow-up courses are uneventful. Conclusion TEE is helpful to diagnosis and guiding the operation. Operation is recommended to prevent recurrent embolization complications. 展开更多
关键词 mitral valve fibroelastoma transesophageal echocardiography surgical treatment
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Application of transesophageal echocardiography to aortic embolic stroke
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作者 郭毅 姜昕 +2 位作者 陈实 张少文 李光展 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第4期525-528,共4页
OBJECTIVES: To determine the relative value of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) in exploring the potential embolic source (PES) in heart and aortic arch and to study the ... OBJECTIVES: To determine the relative value of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) in exploring the potential embolic source (PES) in heart and aortic arch and to study the clinical significance of aortic arch atherosclerosis (AAA). METHODS: Forty-nine patients with cerebral embolism were included in this study. TEE and TTE were used to evaluate the potential source of emboli in aortic arch, heart and duplex in the carotid artery. An atherosclerotic lesion of the aortic arch was defined as normal, mild plaque, moderate plaque, and protruding plaque or mobile plaque. RESULTS: Of the 49 patients, 31 (63%) patients showed evidence of AAA: 7 (14.1%) patients were mild, 9 (18.4%) were moderate and 15 (30.6%) were severe. In those 15 patients, 11 had neither severe ICAA nor heart disease. Thirty-three patients had internal carotid arterial atherosclerosis (ICAA). The potential sources of embolization of heart and aortic arch is 48.98% by TEE, but only 18.4% by TTE; 9 patients had heart disease. Age and ICAA were significantly correlated with AAA. CONCLUSION: At present, TEE is a better method for exploring atherosclerotic lesions in the thoracic aorta. AAA is an important potential source of cerebral embolic stroke. 展开更多
关键词 Echocardiography Transesophageal Adult Aged Aorta Thoracic Aortic Diseases ARTERIOSCLEROSIS Carotid Arteries Cerebrovascular Accident Comparative Study ECHOCARDIOGRAPHY Female Heart Diseases Humans Male Middle Aged MYOCARDIUM Research Support Non-U.S. Gov't Risk Factors
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Application of transesophageal echocardiography to aortic embolic stroke
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作者 郭毅 姜昕 +2 位作者 陈实 张少文 李光展 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第4期45-48,148,共5页
s To determine the relative value of transesophageal echocardiography (TEE) and tr ansthoracic echocardiography (TTE) in exploring the potential embolic source (PE S) in heart and aortic arch and to study the clinica... s To determine the relative value of transesophageal echocardiography (TEE) and tr ansthoracic echocardiography (TTE) in exploring the potential embolic source (PE S) in heart and aortic arch and to study the clinical significance of aortic arc h athersclerosis (AAA) Methods Forty nine patients with cerebral embolism were included in this study TEE an d TTE were used to evaluate the potential source of emboli in aortic arch, heart and duplex in the carotid artery An atherosclerotic lesion of the aortic arch was defined as normal, mild plaque, moderate plaque, and protruding plaque or m obile plaque Results Of the 49 patients, 31(63%) patients showed evidence of AAA: 7 (14 1%) patients were mild, 9 (18 4%) were moderate and 15 (30 6%) were severe In those 15 p atients, 11 had neither severe ICAA nor heart disease Thirty three patients h ad internal carotid arterial atherosclerosis (ICAA) The potential sources of e mbolization of heart and aortic arch is 48 98% by TEE, but only 18 4% by TTE; 9 patients had heart disease Age and ICAA were significantly correlated with A AA Conclusion At present, TEE is a better method for exploring atherosclerotic lesions in the thoracic aorta AAA is an important potential source of cerebral embolic stroke 展开更多
关键词 aortic arch atherosclerosis · cerebral embolis m · transesophageal echocardiography
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