局解手术学杂志2025，Vol.34Issue(9)：784-788,5.DOI:10.11659/jjssx.12E024023
2种围检期方法在对比增强经颅多普勒超声筛查卵圆孔未闭中的效果比较
Effects comparison of two peri-examination methods in contrast-enhanced transcranial Doppler screening for patent foramen ovale
摘要
Abstract
Objective To explore the effects of different education and examination methods on the examination results during the screening/evaluation of patent foramen ovale by contrast-enhanced transcranial Doppler(cTCD).Methods Patients who underwent cTCD screening/evaluation for patent foramen ovale in our hospital from May 2023 to February 2024 were retrospectively selected as the research subjects.The patients were divided into the observation group and the control group according to different education and examination methods during the peri-examination period.Patients who received video education,modified Valsalva maneuver,and injection of contrast agent with 20 mL syringe were included into the observation group,and patients who received artificial education,Valsalva maneuver,and injection of contrast agent with 10 mL syringe were included into the control group.The positive detection rate of patent foramen ovale,right-to-left shunt microbubble grading during Valsalva/modified Valsalva maneuver,systolic blood flow velocity,pulsatility index(PI),resistive index(RI),examination duration,total physician-patient communication time,whether occlusion surgery was performed,and patient satisfaction were compared between the two groups.Results The positive detection rate of patent foramen ovale by cTCD(82.93%vs.95.92%),the detection rate of the maximum amout(grade Ⅲ)of microbubbles(39.02%vs.61.22%),the total physician-patient communication time during the peri-examination period[11.30(10.00,14.00)minutes vs.8.23(7.00,10.00)minutes],the rate of occlusion surgery(48.78%vs.73.47%),and the total patient satisfaction(80.49%vs.91.84%)showed statistically significant differences between the control group and the observation group(P<0.05).Additionally,the receiver operating characteristic(ROC)curve analysis showed that the area under the curve(AUC)for diagnosing patent foramen ovale were 0.718 in the control group and 0.855 in the observation group.Conclusion Peri-examination interventions such as video education,modified Valsalva maneuver,and injection of contrast agent with 20 mL syringe can improve the positive detection rate of patent foramen ovale,reduce ineffective physician-patient communication,and improve patient satisfaction.关键词
卵圆孔未闭/对比增强经颅多普勒超声/阳性检出率/假阴性率/改良Valsalva动作Key words
patent foramen ovale/contrast-enhanced transcranial Doppler/positive detection rate/false-negative rate/modified Valsalva maneuver分类
医药卫生引用本文复制引用
徐永美,汪萃,李华康,张丰,谭琳,张雪,万陈,许详,胡俊..2种围检期方法在对比增强经颅多普勒超声筛查卵圆孔未闭中的效果比较[J].局解手术学杂志,2025,34(9):784-788,5.基金项目
国家自然科学基金面上项目(81873755) （81873755）
重庆市自然科学基金创新发展联合基金重点项目(CSTB2023NSCQ-LZX0139) （CSTB2023NSCQ-LZX0139）
