本刊首页 > 期刊目次 > 经食管与经胸超声心动图造影对于隐源性卒中、偏头痛卵圆孔未闭右向左分流的诊断效果比较

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经食管与经胸超声心动图造影对于隐源性卒中、偏头痛卵圆孔未闭右向左分流的诊断效果比较

  • 赵志茹, 徐家萍,赵雄飞, 张维

* 通信作者: 张维, 单位:延安大学咸阳医院

摘要

摘要
目的:对比经食管超声心动图造影(TEE)、经胸超声心动图造影(TTE)在不明原因脑卒中及偏头痛中检出卵圆孔未闭右向左分流(PFO-RLS)的效果。

方法:随机选取不明原因脑卒中或偏头疼伴PFO-RLS患者50例,所有患者均先、后进行TTE和TEE造影,TTE造影检测频率为2-4MHz,TEE造影检测频率为7MHz。对比两组PFO-RLS检出率、半定量分流分级程度和术后并发症发生率。

结果:TTE造影对PFO-RLS的检出率、半定量分流分级程度均显著高于TEE造影,差异有统计学意义(均P<0.05)。TTE造影的术后并发症发生率为0.0%,显著低于TEE造影的10.0%(P<0.05)。另外,TTE对于PFO-RLS诊断的特异度、灵敏度及正确率[修正统计

方法后重新撰写该部分。]也显著优于TEE(P<0.05)。

结论:不明原因脑卒中或偏头痛患者中TTE造影的PFO-RLS检出率高、正确率高、并发症发生率低、半定量分流程度更精确,值得临床推广应用。

关键词:关键词 经食管超声心动图造影;经胸超声心动图造影;偏头痛;不明原因脑卒中;卵圆孔未闭

ABSTRACT

[Abstract]
Objective: To compare the effect of transthoracic contrast echocardiography (TTE) with transesophageal contrast echocardiography (TEE) for detecting right to left shunt (RLS) combined with patent foramen ovale (PFO) in patients with unexplained stroke and hemicrania.MRTHODS: During April,2015 to April,2016,28 cases of patients with unexplained stroke and 22 cases of patients with hemicrania were selected,All patients were followed by TTE and TEE. The TTE imaging frequency was 2-4MHz, and the TEE imaging frequency was 7MHz. The detection rate of PFO-RLS, semi-quantitative shunting grade and postoperative complication rate.RESULTS:TThe detection rate of PFO-RLS and semi-quantitative shunting grade of TFO were significantly higher than those of TEE (P<0.05). The incidence of postoperative complications of TTE was 0, which was significantly lower than that of TEE 11.9% (P <0.05). In addition, the specificity, sensitivity, and accuracy of TTE for the diagnosis of PFO-RLS was also significantly better than that of TEE (P <0.05)..CONCLUSION: The rate of PFO-RLS in patients with unexplained stroke or migraine is high, the accuracy rate is high, the complication rate is low, and semi-quantitative shunt is more accurate. It is worthy of popularization and application.

Key words: [Keywords]TEE;TTE; Hemicrania;Unexplained stroke;Petent foramen ovale

引用本文 / How to Cite This Article

赵志茹, 徐家萍,赵雄飞, 张维.经食管与经胸超声心动图造影对于隐源性卒中、偏头痛卵圆孔未闭右向左分流的诊断效果比较[J]. 国际精神病学杂志, 2017, 34(3): 427-430

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