川北医学院学报2024，Vol.39Issue(8)：1106-1109,4.DOI:10.3969/j.issn.1005-3697.2024.08.024
右心声学造影和经食道超声心动图在卵圆孔封堵中的应用
Application of contrast transthoracic-echocardiography and transesopha-geal echocardiography in the occlusion of foramen ovale
摘要
Abstract
Objective:To analyze the values of contrast transthoracic-echocardiography(cTTE)and transesophageal echocar-diography(TEE)in the occlusion of patent foramen ovale(PFO).Methods:102 patients with PFO underwent interventional occlusion were selected as the study subjects,and the resultes of cTTE and TEE examinations of the patients during the perioperative period were retrospectively analyzed.Results:Through TEE examination,61 cases were diagnozed as simple PFO,accounting for 59.8％,and 41 ca-ses were diagnozed as complex PFO,accounting for 40.2％.Preoperative cTTE examination showed that right-to-left shunt(RLS)was detected in 48 cases(47.06％)at rest,of which only 9 cases(8.8％)were grade Ⅲ.Under Valsalva action,RLS was detected in all patients,of which 92 cases(90.2％)were grade Ⅲ.There was a statistically significant difference in the detection rate of grade ⅢRLS between the two states(P＜0.05).There were statistically significant differences in the specifications of occluder selected in the two types of PFO patients(P＜0.05).After the release of the occluder,TEE examination showed that the shape and position of the oc-cluder were normal,and no surgical complications such as cardiac valve pathological reflux and pericardial effusion were detected.RLS was detected by cTTE examination,but the proportion of patients with RLS of grade Ⅲ was significantly lower than that before occlu-sion,with a statistically significant difference(P＜0.05).Conclusion:The combined application of TEE and c-TTE during the periop-erative period of PFO occlusion can effectively evaluate the shape,complications and hemodynamics of PFO before and after operation,and has high application values.关键词
右心声学造影/经食管超声心动图/卵圆孔未闭/封堵术/疗效评价Key words
Contrast transthoracic-echocardiography/Transesophageal echocardiography/Patent foramen ovale/Occlusion/Effi-cacy evaluation分类
医药卫生引用本文复制引用
杨薇,唐欢,王得恩..右心声学造影和经食道超声心动图在卵圆孔封堵中的应用[J].川北医学院学报,2024,39(8):1106-1109,4.基金项目
江苏省淮安市科技项目(hap202105) （hap202105）
