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目的探讨超声心动图诊断完全型肺静脉异位引流(TAPVD)及合并心脏畸形的应用价值。方法回顾性分析经我院超声心动图诊断为TAPVD的59例患儿的临床及超声心动图诊断资料,其中12例于本院接受CTA检查,19例于本院接受手术治疗,对余28例进行电话随访。结果 59例TAPVD患儿中,心上型24例(24/59,40.68%),心内型22例(22/59,37.29%),心下型8例(8/59,13.56%),混合型5例(5/59,8.47%)。59例患儿均合并房间隔缺损,其中10例共同肺静脉伴有不同程度的狭窄。除8例失访外,在接受CTA检查与手术治疗的51例患儿中,50例超声心动图检查结果得到证实,余1例误诊。超声心动图诊断符合率为98.04%(50/51),诊断引流位置准确率为100%(50/50)。结论超声心动图对诊断TAPVD分型及合并心脏畸形具有重要的应用价值。
Objective To investigate the value of echocardiography in the diagnosis of complete pulmonary venous drainage (TAPVD) combined with cardiac malformation. Methods The clinical and echocardiographic data of 59 children with TAPVD diagnosed by echocardiography in our hospital were analyzed retrospectively. Among them, 12 were undergoing CTA in our hospital and 19 were undergoing surgery in our hospital. For the remaining 28 patients Follow up by phone. Results Among the 59 cases of TAPVD, 24 (59%) were cardioembolic in 22 cases (22/59, 37.29%), 8 cases were cardiac hypoxia in 8 cases (8/59, 13.56% Mixed 5 cases (5 / 59,8.47%). 59 cases of children with atrial septal defect, of which 10 cases of common pulmonary veins with varying degrees of stenosis. In addition to the 8 patients lost to follow-up, of the 51 children undergoing CTA and surgical procedures, 50 were confirmed by echocardiography and 1 were misdiagnosed. The coincidence rate of echocardiography diagnosis was 98.04% (50/51), and the diagnostic accuracy of drainage position was 100% (50/50). Conclusion Echocardiography has important value in diagnosis of TAPVD and complicated with heart deformity.