超声评估与左室造影对室间隔缺损介入封堵术的诊断研究

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摘要目的探讨超声评估与左室造影对室间隔缺损VSD介入封堵术的诊断研究。方法选取2013年1月～2015年12月来我院住院且经临床诊断患有VSD并行VSD封堵术的患者进行超声与左室造影评估，比较两种方法的准确率及所测VSD残端距主动脉瓣的距离。结果其中超声符合数50例，误差10例，准确率为83.3%，左室造影符合54例，误差6例，准确率为90.0%，差异有统计学意义（P＜0.05）。超声心动图所测VSD残端距主动脉瓣间距为（2.13±1.47）mm，与心血管造影测值（2.93±1.33）mm比较，差异有统计学意义（P＜0.05）。结论左室造影对诊断VSD准确性高，能方便医生指导介入手术，超声也较准确，两者结合效果更显著。

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	钟勇
	赵新
	李玉娇

关键词 ：室间隔缺损介入封堵术, 超声, 左室造影, 主动脉瓣, 评估效果

Abstract：Objective To explore the diagnosis research of ultrasonic evaluation and left ventricular angiography in transcatheter closure of ventricular septal defect.Methods Patientswho was hospitalized in our hospital and were diagnosed as ventricular septal defect and treated with transcatheter closure of ventricular septal defect from January 2013 to December 2015 were evaluated with ultrasonic and left ventricular angiography.The accuracy rate and the distance between the VSD and the aortic valve of two methods were compared.Results The match number，error and accuracy rate of ultrasonic were respectively 50，10 and 83.3%，which were respectively 54，6 and 90.0%of left ventricular angiography，and the accuracy rate of ultrasonic had statistical significance compared with left ventricular angiography　（P＜0.05）.The distance between the VSD and the aortic valve tested by ultrasonic and cardiovascular angiography were respectively（2.13±1.47）mm and（2.93±1.33）mm，and the difference was statistical significant（P＜0.05）.Conclusion Left ventricular angiography has higher accuracy rate in diagnosis ventricular septal defect，which can facilitate the doctor to guide the interventional operation；ultrasonic has the advantages of economy and accuracy，the effect will bemore obvious if combination the twomethods.

Key words： Transcatheter closure of ventricular septal defect Ultrasonic Left ventricular angiography Aortic valve Evaluation effects

基金资助:江西省南昌市指导性科技计划项目（20131210）

引用本文:

钟勇;赵新;李玉娇. 超声评估与左室造影对室间隔缺损介入封堵术的诊断研究[J]. 中国当代医药, 2016, 23(24): 105-106转123.
ZHONG Yong;ZHAO Xin;LIYu-jiao. Com pulsion research of ultrasonic evaluation and left ventricular angiography in transcatheter closure of ventricular septal defect. 中国当代医药, 2016, 23(24): 105-106转123.

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