中国临床医学影像杂志2024，Vol.35Issue(3)：182-185,4.DOI:10.12117/jccmi.2024.03.007
超声心动图鉴别诊断部分型和完全型肺静脉异位引流及对肺循环压力和引流静脉狭窄的判定
Differential diagnosis of partial and complete anomalous pulmonary venous drainage and determination of pulmonary circulation pressure and drainage venous stenosis by echocardiography
摘要
Abstract
Objective:To study the differential diagnosis of partial and complete anomalous pulmonary venous drainage by color Doppler echocardiography(CDE)and the determination of pulmonary circulation pressure and drainage venous stenosis.Methods:This prospective study included 120 children diagnosed with anomalous pulmonary venous drainage in our hospital from February 2020 to February 2023.Among them,71 cases had partial anomalous pulmonary venous drainage and 49 cases had complete anomalous pulmonary venous drainage,and all patients were diagnosed with computed tomography angiography(CTA)and CDE.The combined diagnostic efficacy of CTA and CDE and differences between the two groups in draining venous stenosis severity and pulmonary circulation pressure were explored.Results:The diagnostic accuracy of CTA in diagnosing the classification of pulmonary venous drainage anomalies was significantly higher than that of CDE(P<0.05).According to the ROC curve analysis,the area under the curve of the combined diagnosis of CTA and CDE was significantly higher than that of the single detection.The combination of CTA and CDE examination had strong consistency with gold standard for the diagnosis of drainage vein stenosis.Among the patients with complete anomalous pulmonary venous drainage,25 cases were consistent with the gold standard(Kappa value=0.556),and among the patients with partial anomalous pulmonary venous drainage,24 cases were consistent with the gold standard(Kappa value=0.618).The peak pressure difference of tricuspid regurgitation in the chil-dren with complete anomalous venous drainage was significantly higher than that in the partial anomalous venous drainage group(t=3.153,P=0.002),and the left ventricular end-diastolic diameter was significantly lower than that in the partial venous drainage group(t=9.123,P=0.000).Conclusion:The differential diagnosis of partial and complete anomalous pulmonary anoma-lous venous drainage by the combined diagnosis of CDE and CTA is in good agreement with the gold standard,which can further guide the clinical treatment by effectively determining the pulmonary circulation pressure and drainage vein stenosis.关键词
血管疾病/肺静脉/超声心动描记术/计算机体层摄影血管造影术Key words
Vascular Diseases/Pulmonary Veins/Echocardiography/Computed Tomography Angiography分类
医药卫生引用本文复制引用
彭颖慧,胡原,刘倩君,唐菊,刘金桥,向永华..超声心动图鉴别诊断部分型和完全型肺静脉异位引流及对肺循环压力和引流静脉狭窄的判定[J].中国临床医学影像杂志,2024,35(3):182-185,4.基金项目
2022年度湖南省自然科学基金(2022JJ30320). （2022JJ30320）
