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右侧胸骨旁超声切面对升主动脉病变的诊断价值
何厚洪,罗孝勇,王业兵,蔡燕娟,易成蓉,张永恒
0
(遂宁市中心医院 1.超声科;心血管外科)
摘要:
【摘要】 目的 探讨右侧胸骨旁超声切面对升主动脉扩张性病变的诊断价值。方法 分析经CT血管造影(CTA)或手术证实的升主动脉扩张性病变患者112例,比较左侧胸骨旁超声切面结合右侧胸骨旁超声切面扫查与单行左侧胸骨旁超声切面扫查对升主动脉扩张性病变的清晰完整显示率与诊断符合率。结果 与单独采用左侧胸骨旁超声切面比较,结合右侧胸骨旁超声切面可明显提高扩张升主动脉的清晰完整显示率(P<005);尤其可明显提高升主动夹层剥脱内膜、夹层真腔与假腔交通情况、累及范围及升主动脉瘤形态、结构、累及范围的清晰完整显示率(P<005)。与单独采用左侧胸骨旁超声切面比较,结合右侧胸骨旁超声切面可明显提高升主动脉夹层、升主动脉瘤的诊断符合率(P<005) 。结论 左侧胸骨旁超声切面结合右侧胸骨旁超声切面能显著提高升主动脉扩张性病变的显示率与诊断符合率,应重视右侧胸骨旁超声切面对升主动脉扩张性病变检测的临床应用价值。
关键词:  右侧胸骨旁切面  超声心动图  A型主动脉夹层  升主动脉瘤  诊断价值
DOI:
基金项目:四川省卫计委科研课题(17PJ184)
The value of Echocardiography from right parasternal ultrasound sections in diagnosis of Ascending Aortic Lesions
HE Houhong,LUO Xiaoyong,WANG Yebing,CAI Yanjuan,YI Chengrong,ZHANG Yongheng
(Department of Ultrasound,Suining Central Hospital;Cardiovascular Surgery,Suining Central Hospital)
Abstract:
【Abstract】 Objective To discuss the value of Echocardiography from right parasternal ultrasound sections in diagnosis of ascending aorta distension.Methods To compare the clear and intact display rate and diagnostic accordance rate of ascending aorta distension between using left combined with right parasternal ultrasound sections and only using left sections, 112 patients with ascending aorta distension confirmed by CT angiography(CTA) or operation were analyzed retrospectively. Results (1) Compared with only using left sections, left combined with right views can obviously improved the clear and intact display rate of dilated ascending aorta (P<005), rate of intimal flap ,communication of double lumen and involved range of ascending aortic dissection(P<005),and rate of morphological structure and involved range of ascending aortic aneurysm(P<005).(2) Compared with only using left sections, left combined with right views can obviously improved the diagnostic accordance rate of ascending aortic dissection and aneurysm (P<005).Conclusion Left combined with right views can obviously improved the display and diagnostic accordance rate of ascending aorta distension.Right parasternal ultrasound sections have important assisted diagnostic value for ascending aorta distension.
Key words:  Right parasternal ultrasound section  Echocardiography  Type A aortic dissection  Ascending aortic aneurysm  Diagnosis value

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