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目的 探讨超声心动图对小儿冠状动脉瘘诊治的价值。方法 回顾性分析 2 1例小儿冠状动脉瘘患者。结果 右冠状动脉右心室瘘 7例 ,右心房瘘 2例 ,左心室瘘 2例 ,肺动脉瘘 1例 ;左冠状动脉右心室瘘 8例 ,右心房瘘 1例。经心血管造影和 /或手术结果证实 ,超声诊断准确率 10 0 %。结论 超声心动图能描述小儿冠状动脉瘘起源、走行、开口、瘘口数目 ,有无分支及血流动力学改变 ,能为选择治疗方案、术中监测和评定预后提供依据 ,具有重要的临床价值
Objective To investigate the value of echocardiography in the diagnosis and treatment of pediatric coronary fistula. Methods A retrospective analysis of 21 cases of children with coronary artery fistula. Results Right coronary fistula in 7 cases, right atrial fistula in 2, left ventricular fistula in 2, pulmonary fistula in 1; right coronary artery in 8 cases of right ventricular fistula and right atrial fistula in 1 case. Cardiovascular angiography and / or surgical results confirmed that ultrasound diagnostic accuracy 10%. Conclusion Echocardiography can describe the origin, path, opening, number of fistula, presence or absence of branch and hemodynamic changes in children with coronary artery fistula, which can provide the basis for selection of treatment plan, intraoperative monitoring and prognosis evaluation, and has important clinical value