CAJ | 학술논문

目的：评价彩色多普勒超声心动图对镜像右位心伴心内畸形的诊断价值。方法：分析总结29例镜像右位心彩色多普勒超声图表现。结果：除内脏反位、心脏反位外，21例患者合并心内畸形，包括房间隔缺损5例，室间隔缺损4例，法洛四联症4例，法洛五联症2例，矫正型大动脉转位并肺动脉瓣狭窄1例，右室双出口并永存左上腔静脉1例，完全性心上型肺静脉异位引流并房间隔缺损1例，法洛四联症伴冠状动脉畸形1例，房间隔缺损并二尖瓣脱垂1例，单心室、房间隔缺损、大动脉异位、动脉导管未闭1例。结论：彩色多普勒是镜像右位心并心内畸形的无创性首选检查方法，能为临床诊断治疗提供客观影像学依据。
목적：평개채색다보륵초성심동도대경상우위심반심내기형적진단개치。방법：분석총결29례경상우위심채색다보륵초성도표현。결과：제내장반위、심장반위외，21례환자합병심내기형，포괄방간격결손5례，실간격결손4례，법락사련증4례，법락오련증2례，교정형대동맥전위병폐동맥판협착1례，우실쌍출구병영존좌상강정맥1례，완전성심상형폐정맥이위인류병방간격결손1례，법락사련증반관상동맥기형1례，방간격결손병이첨판탈수1례，단심실、방간격결손、대동맥이위、동맥도관미폐1례。결론：채색다보륵시경상우위심병심내기형적무창성수선검사방법，능위림상진단치료제공객관영상학의거。
Objective:To evaluate the value of color doppler echocardiography in the diagnosis of mirror-image dextrocar-dia and intracardial malformations. Methods:The ultrasound images of the 29 cases of mirror-image dextrocardia that di-agnosed by our color doppler from 2008 to 2013 were collected and analyzed. Results:In addition to the visceral trans, heart,trans,21 patients merged intracardial malformations,including 5 cases of atrial septal defect,4 cases of ventricular septal defect,4 cases of tetralogy of Fallot,2 cases of pentalogy of Fallot,1 case of corrected aorta transposition and pul-monary stenosis,1 case of double outlet of right ventricular and persistent left superior vena cava,1 case of total anoma-lous pulmonary venous drainage of supracardiac type and atrial septal defect,1 case of tetralogy of fallot with coronary ar-tery malformation,1 case of atrial septal defect with mitral valve prolapse,1 case of single ventricle with atrial septal de-fect,ectopic main artery,and patent ductus arteriosus. Conclusion:Color doppler echocardiography is a noninvasive pre-ferred examination method and can provide an objective imaging basis for clinical diagnosis and treatment in the diagnosis of mirror-image dextrocardia with intracardial malformations.