彩色多普勒对正常儿童心脏瓣膜返流的诊断意义

DIAGNOSTIC VALUE OF HEART VALVES REGURGITATION BY COLOUR DOPPLER ECHOCARDIOGRAGHY IN NORMAL CHILDREN

  • 摘要: 为探索正常儿童心脏瓣膜返流的规律,本文总结正常心内结构儿童51例。根据彩色多普勒超声心动图检查,发现57个辩膜深及有阳性意义的运流,其中,肺动脉辩返流33例(648%)占绝大多数;三尖瓣返流12例(35.3%);其次,二尖辩运流仅6例(11.7%);同时果及两个辩膜返流6例,未发现主动脉瓣阳性意义的返流.各年龄组中,以6~10岁儿童肺动脉聘返流发生率最高(占该年龄组所有辩膜返流的84%,P<0.05)。作者认为小儿辩膜返流,尤其是肺动脉瓣返流,如不合并有心内结构异常,绝大多数为生理性,与小儿的解剖特点和血液动力学特点有关,但要注意随访观察是否随着小儿发育成熟而消失。

     

    Abstract: In order to investigate the regularity of heart valves regurgitation (HVR) in normalchildren, this study analysed 57 heart valves with signficant regurgitati0n in 51 cases 0f children with n0r-mal innerheart structure by Colour Doppler Echocardiography. Among them, HVR involved m0st in puLmonary artery valve (33 cases, 64.8% ), secondly in tricuspid valve (12 cases, 35. 3 % ), thirdly in mitralvalve (6 cases, 11. 7% ). No case involved in aortic valve- Six cases of HVR involved in two valves in thesame child- Among different age-groups, pulmonary artery valve regurgitation occurred most in 6 to 10years group (84% of all HVR in this age-group, P0. 05). The authors concluded that in children withnormal inner-heart structure, most HVR, especially pulmonary artery regurgitation, were characterizedby physiologic changes, which could be explained by the specificity of children's heart anatomy and hemodynamics, and should be follwed up with children's growing to see if HVR be disappeared

     

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