Analysis of diagnostic value of berry syndrome by Doppler echocardiography
Berry综合征的超声心动图诊断价值分析
作者: WU Li-junZHANG Yu-qiSUN KunZHANG Zhi-fangCHEN Li-junDepartment of Echocardiography,Xinhua Hospital,Shanghai Jiaotong University School of MedicineDepartment of Pediatric Cardiology,Shanghai Children's Medical Center,Shanghai Jiaotong University School of Medicine
刊名: Journal of Medical Imaging, 2014(11), pp.1887-1891
中文刊名: 医学影像学杂志, 2014(11), pp.1887-1891
来源数据库: CJFDTEMP_U
DOI: CNKI:SUN:XYXZ.0.2014-11-007
关键词: Berry syndromeEchocardiographyDoppler
中文关键词: Berry综合征超声心动描记术多普勒
英文摘要: Objective To review the imaging characteristics of Berry syndrome and to evaluate the accuracy of the diagnosis by Doppler echocardiography,so as to improve the initial echocardiographic diagnosis.Methods Doppler echocardiography was performed and these images were compared with operative or magnetic resonance imaging(MRI)findings in21 children with Berry syndrome.Results The malformations of Berry syndrome consisted of the distal aortopulmonary septal defect(21cases),aortic origin of the right pulmonary artery(21cases),interruption of aortic arch(19cases),coarctation of the aorta(2cases),and intact ventricular septum(21cases).The most common associated malformations included pulmanary hypertension(21cases),patent ductus arteriosus(19cases),atrial septal defect(9cases),patent foramen...
中文摘要: 目的分析Berry综合征彩色多普勒超声心动图图像特征,评价多普勒超声心动图对Berry综合征的诊断价值,分析超声心动图漏误诊的原因,旨在提高超声心动图技术对Berry综合征诊断的准确性。方法 21例经心外科手术或经核磁共振(MRI)检查明确为Berry综合征的患儿为研究对象,对其超声心动图检查结果进行回顾性分析。结果 Berry综合征畸形主要包括远端主肺动脉间隔缺损(21例)、右肺动脉异常起源于升主动脉(21例)、主动脉弓离断(A型19例)及主动脉缩窄(2例)、室间隔完整(21例);最常见的合并畸形有肺动脉高压(21例)、动脉导管未闭(19例)、房间隔缺损(9例)、卵圆孔未闭(4例)、主动脉瓣狭窄(1例)、二尖瓣狭窄(1例)。21例患儿中,超声诊断符合17例(占81.0%);超声漏、误诊4例(占19.0%),其中2例漏诊右肺动脉异常起源于升主动脉、1例漏诊主肺动脉间隔缺损及右肺动脉异常起源于升主动脉;1例主动脉弓中断A型误诊为B型。结论多普勒超声心动图技术可以较准确地诊断Berry综合征的各种组合畸形,但容易漏诊,必要时可行MRI检查。
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