超声心动图诊断小儿先天性主动脉瓣及瓣下狭窄
Echocardiographic Diagnosis of Congenital Valvular Aortic Stenosis and Subvalvuar Aortic Stenosis in Children

DOI: 10.12677/ACRVM.2013.21002, PP. 7-10

Keywords: 超声心动图；主动脉瓣及瓣下狭窄
Echocardiography, VAS and SVAS

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Abstract:

目的：探讨超声心动图诊断小儿先天性主动脉瓣及瓣下狭窄的准确性。资料与方法：分析12例术前诊断先天性主动脉瓣及瓣下狭窄患者的心脏彩超图像，并与手术结果对比分析，总结其诊断要点。结果：经手术证实，12例患者中3例为主动脉瓣下狭窄，6例为主动脉瓣狭窄，3例为主动脉瓣下狭窄合并主动脉瓣狭窄。本组患者除2例术前超声诊断与术中探查不符外，其余均与手术结果相符。结论：主动脉瓣及瓣下狭窄的鉴别诊断对于外科有重要意义，超声心动图诊断小儿先天性主动脉瓣及瓣下狭窄具有较高的准确性。

Purpose: To assess the diagnostic accuracy and features of Echocardiography on congenital valvular aortic stenosis (VAS) and subvalvuar aortic stenosis (SVAS) in children. Methods: The echocardiographic characteristics of 12 patients diagnosed VAS and SVAS were analyzed and compared with results of operation results. Results: 3 of total 12 patients were diagnosed subvalvuar aortic stenosis, 6 were diagnosed valvuar aortic stenosis, 3 subvalvuar aortic stenosis cases were associated with valvuar aortic stenosis. The echocardiographic characteristics of VAS were correspondent to the results of operation findings in 12 patients except 2 patients had mismatch of preoperative diagnosis and intraoperative findings. Conclusion: The differential diagnosis of VAS and SVAS is important for surgery. There is high accuracy of echocardiography in the diagnosis of VAS and SVAS in children.

References

[1]	董凤群, 赵真. 先天性心脏病实用超声诊断学(第一版)[M]. 北京: 人民军医出版社, 2005: 269-280.
[2]	G. Sigfusson. Abnormalities of the left ventricular outflow tract associated with discrete subaortic stenosis in children: An echocardinoraphic study. Journal of the American College of Cardiology, 1997, 30(1): 255-259.
[3]	吴清玉. 心脏外科学[M]. 济南: 山东科学技术出版社, 2003: 499-503.
[4]	钱晶晶, 蒋国平, 何瑾. 小儿先天性主动脉瓣上狭窄的超声诊断[J]. 中华超声影像学杂志, 2008, 10(17): 855-857.
[5]	谷颖, 车正兰. 先天性主动脉出口狭窄的超声心动图诊断[J]. 贵阳医学院学报, 2009, 10(34): 533-539.
[6]	廖建毅, 徐志伟. 儿童先天性主动脉瓣上狭窄的外科治疗[J]. 中华小儿外科杂志, 2009, 5(30): 272-274.
[7]	牛波, 刘晓程. 主动脉缩窄合并心内畸形的外科治疗[J]. 天津医药, 2008, 1(36): 70-71.

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