室间隔缺损彩超诊断与手术结果的对照研究.docx

室间隔缺损彩超诊断与手术结果的对照研究 陈建红 浏阳市中医医院湖南浏阳410300 【摘 要】目的：探讨室间隔缺损彩超诊断与手术结果的对照。方法：病例资料 来源于我院2013年10月至2014年10月间收治的通过手术结果证实的室间隔缺 损患者，共50例，对照组进行X线平片检查的设为对照组，进行彩色多普勒超 声检查的为研究组患者，对两组的检查结果进行比较。结果：研究组诊断出46 例室间隔缺损，而对照组诊断出36例室间隔缺损，研究组诊断干下2例，围膜 部32例，肌部0例，膜部瘤6例，左室右房型6例，而对照组诊断干下1例， 围膜部28例，肌部0例，膜部瘤4例，左室右房型3例，研究组诊断率明显高 于对照组，两组数据存在统计学差异(Pt;0.01)o研究组检测室缺大小为 (0.73plusmn;0.34),手术结果发现室缺大小为(0.81plusmn;0.40),与研究组 比较数据不存在统计学差异(Pgt；0.05)o对照组检测室缺大小为 (0.65plusmn;0.31),与手术结果比较存在统计学差异(Plt;0.05)。结论：相 比于X线平片检查，彩色多普勒超声可以更加准确反映出室间隔缺损情况，对于 早期病变的显示更具优势，是诊断室间隔缺损有效的影像学措施，安全可靠，值 得临床推广。 【关键词】室间隔缺损，彩超，手术结果 [Abstract] objective： to study the diagnosis and surgical results of pa/VSD. Methods： the clinical data from October 2013 to October 2013 were surgically confirmed patients with ventricular septal defect, a total of 50 cases and control group in the exami nation of the X?ray plain film set as control group, with color doppler ultraso und exami nation for patie nts with the team, to compare two groups of test results. Diagnosis of 46 cases of ventricular septal defect, results： the group and control group in diagnosis of 36 cases of ventricular septal defect, and the team under the diagnosis of dry in 2 cases, compound membrane 32 cases, muscle of 0 cases, the membra ne of tumor 6 cases, left ventricular right room 6 cases, a nd 1 case under control in the diagnosis of dry, wai film of 28 cases, the muscle of 0 cases, the membrane of tumor in 4 cases, left ventricular right room 3 cases, the team diagnostic rate is significantly higher than the control group, two groups of data statistical differences (P lt; 0.01). Team measure the lack of size (0.73 + / - 0.34), the operation results show room lack of size (0.81 + /- 0.40), compared with group data there is no statistical difference (P gt; 0.05) . Control measure the lack of size (0.65 + / - 0.31), compared with the surgical results statistical differences (P lt; 0.05) ? Conclusion： compared with X-ray plain film, color doppler ultrasound can more accurately