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目的探讨经食管超声在心脏瓣膜囊性病变围术期的应用价值。方法回顾性分析5例经胸超声及(或)经食管超声诊断为心脏瓣膜囊性病变的患者资料,总结其超声影像学特征;以手术及病理结果为对照,比较分析术前经食管超声测量病变大小与术中所见病变大小的差异性。结果 5例心脏瓣膜囊性病变患者均有特征性的超声影像学表现,所有病例均经食管超声检出瓣膜囊性病变,2例经胸超声检查未检出瓣膜囊性病变。3例手术及病理诊断为心脏瓣叶囊肿,2例手术诊断为瓣叶囊状病变。术前经食管超声测得病变大小与术中测量大小有较好的相关性(r=0.998,P<0.01)。结论经食管超声在心脏瓣膜囊性病变围术期的定位及定性诊断中具有重要价值。
Objective To investigate the value of transesophageal echocardiography in the perioperative period of heart valve cystic lesions. Methods A retrospective analysis of 5 cases of transthoracic echocardiography and / or transesophageal echocardiography in patients with valvular heart disease was performed to summarize their imaging features. The operative and pathological results were compared with those of preoperative transesophageal echocardiography The size of the lesion and the size of the lesion seen in the surgery. Results All 5 patients with valvular heart disease had characteristic ultrasonographic manifestations. All patients underwent esophageal ultrasonography to detect valvular cystic lesions, and 2 underwent transthoracic echocardiography without valvular cystic lesions. 3 cases of surgical and pathological diagnosis of cardiac valve leaflet cyst, 2 cases of surgical diagnosis of valvular cystic lesions. Preoperative esophageal ultrasound measured lesion size and intraoperative measurements have a good correlation (r = 0.998, P <0.01). Conclusion The transesophageal echocardiography is of great value in the perioperative localization and qualitative diagnosis of cystic valvular lesions.