| 摘要: |
| 目的 探讨应用实时三维超声心动图对不典型川崎病冠状动脉病变早期诊断的价值并与二维超声和冠脉CTA对冠状动脉病变的诊断进行比较。方法 回顾性分析不典型川崎病106例，所有患儿均行二维及实时三维超声心动图检查，其中20例同时行冠脉CTA检查，将其结果与超声检查结果进行比较，分析实时三维超声心动图诊断的可靠性。结果 ①二维超声的图像质量评分略优于实时三维超声②实时三维超声心动图与CTA对冠脉病变的检出率是一致的。结论 实时三维超声心动图可以准确的评价不典型川崎病的冠状动脉受累情况，但对冠脉远段病变的显示效果不如CTA。两者联合应用对于不典型川崎病的早期诊断具有重要的临床意义。 |
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| DOI： |
| 投稿时间：2017-02-27修订日期：2017-04-07 |
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| Value of real time three-dimensional echocardiography for early detection coronary arterial lesions in patients with atypical Kawasaki disease |
| qiandajun |
| () |
| Abstract: |
| 【Abstract】Objective To investigate the diagnostic value of really time three-dimensional echocardiography for early detection coronary arterial lesions in children with atypical Kawasaki disease. Methods Both 2D-ECHO and RT-3DE were used to examine 20 patients who were confirmed by CTA. The image’s quality and the reliability of the diagnosis of 2D-ECHO and RT-3DE were compared. Results 1) The quality of the 2D-ECHO images is a little better than that of RT-3DE.2) The accuracy of CTA and RT-3DE in the diagnosis of coronary artery lesions is consistent. Conclusions RT-3DE is a good diagnostic tools to detect coronary arterial lesions in patients with atypical Kawasaki disease, RT-3DE could confirm or correct some diagnosis of 2D-ECHO. Therefore, combining the 2D-ECHO and RT-3DE has practical clinical value in atypical Kawasaki disease. |
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