谢超, 张文君, 谢辉, 张涛, 宋晓雨. 卵圆孔结构特征在经食管三维超声下的成像分析[J]. 心脏杂志, 2022, 34(3): 285-288, 298. DOI: 10.12125/j.chj.202105101
    引用本文: 谢超, 张文君, 谢辉, 张涛, 宋晓雨. 卵圆孔结构特征在经食管三维超声下的成像分析[J]. 心脏杂志, 2022, 34(3): 285-288, 298. DOI: 10.12125/j.chj.202105101
    Chao XIE, Wen-jun ZHANG, Hui XIE, Tao ZHANG, Xiao-yu SONG. Imaging analysis of foramen ovale structure by transesophageal three-dimensional ultrasound[J]. Chinese Heart Journal, 2022, 34(3): 285-288, 298. DOI: 10.12125/j.chj.202105101
    Citation: Chao XIE, Wen-jun ZHANG, Hui XIE, Tao ZHANG, Xiao-yu SONG. Imaging analysis of foramen ovale structure by transesophageal three-dimensional ultrasound[J]. Chinese Heart Journal, 2022, 34(3): 285-288, 298. DOI: 10.12125/j.chj.202105101

    卵圆孔结构特征在经食管三维超声下的成像分析

    Imaging analysis of foramen ovale structure by transesophageal three-dimensional ultrasound

    • 摘要:
        目的  探讨实时三维经食管超声心动图在卵圆孔结构特征中的应用价值。
        方法  选取2018年1月~2020年12月十堰市太和医院接收的卵圆孔未闭患者,对比实时三维经食管超声心动图(RT3D-TEE)和实时二维经食管超声心动图(2D-TEE)两种影像测得卵圆孔的出口宽度、中间宽度、入口宽度、通道长度,获取中间切面、右房侧PFO入口面、左房侧PFO出口面。
        结果  2D-TEE和RT3D-TEE的PFO对合宽度没有显著的差异,而在平均宽度、平均长度、入口宽度、中间宽度、出口宽度等方面具有显著的统计学差异,RT3D-TEE数值高于2D-TEE。2D-TEE和RT3D-TEE检出分流的例数分别为120例和134例,两种超声方法的检出情况具有显著的差异,(均P<0.05)。2D-TEE和RT3D-TEE对房间隔膨胀瘤、左心房房间隔袋、二尖瓣瓣膜丝状物、主动脉瓣瓣膜丝状物的检出率没有显著的统计学差异。PFO合并膨胀瘤和卵圆瓣较长与封堵手术的时间没有显著的相关性,PFO右房侧直径大小和封堵手术时间具有显著的相关性。
        结论  实时三维经食管超声心动图能够清晰展示卵圆孔三维结构特征,为卵圆孔形态信息提供更准确定的信息。

       

      Abstract:
        AIM  To explore the application value of real-time three-dimensional transesophageal echocardiography for the structural characteristics of oval foramen.
        METHODS  The patients who received the foramen ovale from January 2018 to December 2020 were selected. The exit width, middle width, entrance width and channel length were measured by comparing the real-time three-dimensional transesophageal echocardiography (RT3D tee) and real-time two-dimensional transesophageal echocardiography (2D-TEE), and the median plane, right atrial PFO entrance surface and left atrial PFO exit surface were obtained.
        RESULTS  There was no significant difference in PFO alignment width between 2D-TEE and RT3D tee, but there were significant differences in average width, average length, entrance width, middle width and exit width. The number of shunt cases detected by 2D-TEE and rt3d-tee were 120 and 134 respectively, with significant difference between the two ultrasound methods. There was no significant difference between 2D-TEE and rt3d-tee in the detection rate of atrial septal aneurysm, left atrial septal pocket, mitral valve filaments and aortic valve filaments. PFO with dilated tumor and longer oval valve had no significant correlation with the time of closure, but the right atrial diameter of PFO had significant correlation with the time of closure.
        CONCLUSION  Real time three-dimensional transesophageal echocardiography clearly displays the three-dimensional structural characteristics of foramen ovale and it provides more accurate information for the morphological information of foramen ovale.

       

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