CAJ | 학술논문

目的：研究经食管实时三维超声（ RT3D-TEE ）在人工二尖瓣瓣周漏（ PVL ）的诊断及应用价值。方法：选择我院2011年5月至2013年5月收治人工二尖瓣 PVL 病患51例，在其内、外科术前、后，均给予经食管二维超声（2D-TEE）及RT3D-TEE检查，分析两种检查结果准确度。结果：应用RT3D-TEE技术检查病患PVL漏口位置诊断结果准确性显著高于应用2D-TEE 技术，测得PVL漏口大小数据显著大于应用2D-TEE技术所测（均P＜0．05）。结论：RT3D-TEE对病患PVL漏口位置诊断更加准确、可靠，可辅助医生术前诊断，并为术中监护提供实时超声信息，监测病患术后疗效情况。
목적：연구경식관실시삼유초성（ RT3D-TEE ）재인공이첨판판주루（ PVL ）적진단급응용개치。방법：선택아원2011년5월지2013년5월수치인공이첨판 PVL 병환51례，재기내、외과술전、후，균급여경식관이유초성（2D-TEE）급RT3D-TEE검사，분석량충검사결과준학도。결과：응용RT3D-TEE기술검사병환PVL루구위치진단결과준학성현저고우응용2D-TEE 기술，측득PVL루구대소수거현저대우응용2D-TEE기술소측（균P＜0．05）。결론：RT3D-TEE대병환PVL루구위치진단경가준학、가고，가보조의생술전진단，병위술중감호제공실시초성신식，감측병환술후료효정황。
Objective To assess the application values of real-time three-dimensional transesophageal ultrasound (RT3D-TEE) technology in the diagnosis and treatment of artificial mitral paravalvular leak (PVL). Methods Fifty-one cases of artificial mitral PVL patients were received two-dimensional transesophageal ultrasound (2D-TEE) and RT3D-TEE examination before and after surgery. Accuracy analysis was performed between the two kinds of test. Results The diagnostic accuracy of RT3D-TEE technique in patients with PVL drain port positionwas significantly higher than that of 2D-TEE technology , and the data of PVL drain port size by RT3D-TEE technique is significantly larger than that of 2D-TEE technique (P < 0.05, respectively). Conclusion The PVL laboratory diagnosis based on RT3D-TEE is accurate and reliable , and RT3D-TEE can assist doctors to diagnose before operation , and can provide real-time ultrasound information from intraoperative monitoring , and monitor the postoperative efficacy of patients .