经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能

doi:10.7517/issn.1674-0475.191207

影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (3): 546-549.DOI: 10.7517/issn.1674-0475.191207

经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能

杨智芳¹, 李秀英², 卫精明¹

1. 宁津县人民医院超声科, 山东德州 253400;
2. 德州市人民医院超声科, 山东德州 253045

收稿日期:2019-12-08 出版日期:2020-05-15 发布日期:2020-05-15
通讯作者: 李秀英

Diagnosis Effect of Transesophageal Echocardiography and Transthoracic Echocardiography in Patients with Cardio-embolic Cerebral Infarction

YANG Zhifang¹, LI Xiuying², WEI Jingming¹

1. Department of Ultrasonography, Ningjin County People's Hospital, Dezhou 253400, Shandong, P. R. China;
2. Department of Ultrasonography, Dezhou People's Hospital, Dezhou 253045, Shandong, P. R. China

Received:2019-12-08 Online:2020-05-15 Published:2020-05-15

摘要/Abstract

摘要： 为分析经食道心脏超声（transesophageal echocardiography，TEE）和经胸壁心脏超声（transthoracic echocardiography，TTE）对心源性栓塞性脑梗死（cardio-embolic cerebral infarction，CECI）的诊断效能，本研究选取我院2018年5月~2019年12月收治的CECI患者65例，对患者分别实施TEE和TTE检查，比较不同检查方法对心脏疾病栓塞源的检出情况和不同检查方法的敏感性、特异性。结果显示，TEE对房间隔缺损、主动脉斑块、卵圆孔未闭、二尖瓣脱垂、二尖瓣增厚、房间隔瘤的检出率高于TTE（P<0.05）；TEE联合TTE诊断CECI的敏感性和特异性均高于单独检查（P<0.05）。据此可知，TEE诊断CECI具有较高的检出率，而TTE存在漏检情况，TEE联合TTE有助于提高CECI的诊断准确率。

关键词: 心源性栓塞性脑梗死, 经食道心脏超声, 经胸壁心脏超声, 诊断准确率

Abstract: The diagnosis effect of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) on cardio-embolic cerebral infarction (CECI) is analyzed in this study. 65 patients with CECI who sought medical care in our hospital from May 2018 to December 2019 were enrolled. TEE and TTE examination were performed, and the detection of embolic sources of cardiac disease by different examinations were compared, as well as the sensitivity and specificity of different examinations. The results show that, the detection rate of TEE on the atrial septal defect, aortic plaque, patent foramen ovale, mitral valve prolapse, mitral valve thickening and atrial septal aneurysm were higher than those of TTE (P<0.05). The sensitivity and specificity of TEE combined with TTE in the diagnosis of CECI was higher than that of single examination (P<0.05).According to this, TEE has a high detection rate in the diagnosis of CECI, while TTE has false negative results. TEE combined with TTE can improve the diagnosis accuracy of CECI.

Key words: cardio-embolic cerebral infarction, transesophageal echocardiography, transthoracic echocardiography, diagnosis accuracy

杨智芳, 李秀英, 卫精明. 经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能[J]. 影像科学与光化学, 2020, 38(3): 546-549.

YANG Zhifang, LI Xiuying, WEI Jingming. Diagnosis Effect of Transesophageal Echocardiography and Transthoracic Echocardiography in Patients with Cardio-embolic Cerebral Infarction[J]. Imaging Science and Photochemistry, 2020, 38(3): 546-549.

参考文献

[1] 侯瑞丽, 牛文亮, 刘波, 等. 青年、老年脑梗死患者流行病学分布比较及影响因素分析[J]. 中国现代医生, 2019,57(16):9-13. Hou R L, Niu W L, Liu B, et al. A comparative study on the epidemiological distribution and influencing factors of young and old patients with cerebral infarction[J]. China Modern Doctor, 2019,57(16):9-13.
[2] 王琳, 姜春黎, 饶文洁, 等. 心源性脑栓塞的临床特点及抗栓治疗[J]. 中华老年心脑血管病杂志, 2017,19(7):676-680. Wang L, Jiang C L, Rao W J, et al. Clinical characteristics and antithrombotic treatment of cardiogenic cerebral embolism[J]. Chinese Journal of Geriatric Heart Brain and Vessel Diseases, 2017,19(7):676-680.
[3] 吴越, Bourcier R,Legrand L, 等. 验证高估率(overR)和双层磁敏感血管征(TL-SVS)作为心源性栓塞性卒中的影像学生物标志及其与从发病到MRI检查时间的相关性[J]. 国际医学放射学杂志, 2019,42(4):497-498. Wu Y, Bourcier R, Legrand L, et al. To verify the overr and tl-svs as the imaging biomarkers of cardiac embolism stroke and their correlation with the time from onset to MRI examination[J]. International Journal of Medical Radiology, 2019,42(4):497-498.
[4] 王华, 褚雯, 段智慧, 等. 经食道心脏超声和经胸壁心脏超声在心源性栓塞性脑梗死诊断价值[J]. 现代医用影像学, 2019,28(2):347-349. Wang H, Chu W, Duan Z H, et al. Diagnostic value of transesophageal echocardiography and transthoracic echocardiography in cardiogenic thrombotic cerebral infarction[J]. Modern Medical Imaging, 2019,28(2):347-349.
[5] 罗德宏, 梁启硕. 经食道心脏超声在心源性栓塞性脑梗死诊断中的应用[J]. 中国现代药物应用, 2019,13(23):29-31. Luo D H, Liang Q S. Application of transesophageal echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Chinese Modern Medicine Application, 2019,13(23):29-31.
[6] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2014[J]. 中华神经科杂志, 2015,48(4):246-257. Neurology Branch of Chinese Medical Association, Cerebrovascular Disease Group. Chinese guidelines for the diagnosis and treatment of acute ischemic stroke 2014[J]. Chinese Journal of Neurology, 2015,48(4):246-257.
[7] 汪林木. 脑栓塞的病因和发病机制[J]. 临床医学, 2012,32(5):115-116. Wang L M. Etiology and pathogenesis of cerebral embolism[J]. Clinical Medicine, 2012,32(5):115-116.
[8] 孙渊, 曾勇, 朱以诚. 心源性脑栓塞病因分析[J]. 中国实用内科杂志, 2014,34(S2):74-76. Sun Y, Zeng Y, Zhu Y C. Etiological analysis of cardiogenic cerebral embolism[J]. Chinese Journal of Practical Internal Medicine, 2014,34(S2):74-76.
[9] 张浩然, 张媛. 心源性脑栓塞的病因及预防研究进展[J]. 心血管病学进展, 2017,38(6):644-647. Zhang H R, Zhang Y. Research progress in the etiology and prevention of cardiogenic cerebral embolism[J]. Advances in Cardiovascular Diseases, 2017,38(6):644-647.
[10] 李玲. 经食管心脏超声和经胸壁心脏超声在心源性栓塞性脑梗死诊断中的价值[J]. 中国医药指南, 2019,17(11):168-169. Li L. The value of transesophageal echocardiography and transthoracic echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Chinese Medical Guide, 2019,17(11):168-169.
[11] 努尔哈依夏·阿合曼, 沙丽哈·尼合买提. 经食道心脏超声在心源性栓塞性脑梗死诊断中的应用[J]. 中西医结合心血管病电子杂志, 2017,5(27):80. Nuerhayixia A, Shaliha N. The application of transesopha-geal echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J].Electronic Journal of Integrated Chinese and Western Medicine, 2017,5(27):80.
[12] 崔海峡. 经食管及经胸超声心动图诊断心源性栓塞性脑梗死的价值[J]. 中华实用诊断与治疗杂志, 2017,31(11):1110-1111. Cui H X. The value of transesophageal and transthoracic echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Chinese Journal of Practical Diagnosis and Treatment, 2017,31(11):1110-1111.
[13] 郭静, 徐超亚. 经食道心脏超声和经胸壁心脏超声在心源性栓塞性脑梗死诊断中的比较[J]. 现代医用影像学, 2017,26(5):1317-1318, 1321. Guo J, Xu C Y. Comparison of transesophageal echocardiography and transthoracic echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Modern Medical Imaging, 2017,26(5):1317-1318, 1321.
[14] 王敬, 郭韬, 陈文清, 等. 经食道和经胸壁心脏超声诊断心源性栓塞性脑梗死的应用价值[J]. 深圳中西医结合杂志, 2017,27(15):52-53. Wang J, Guo T, Chen W Q, et al. The value of transesophageal and transthoracic echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, 2017,27(15):52-53.
[15] 徐念,梁天山,郭顺华,等.经食道心脏超声和经胸壁心脏超声在心源性栓塞性脑梗死诊断中的比较[J].现代诊断与治疗, 2016,27(1):98-99. Xu N, Liang T S, Guo S H, et al. Comparison of transesophageal echocardiography and transthoracic echocardiography in the diagnosis of cardiogenic thrombotic cerebral infarction[J]. Modern Diagnosis and Treatment, 2016,27(1):98-99.

经食道心脏超声和经胸壁心脏超声检查对心源性栓塞性脑梗死的诊断效能

Diagnosis Effect of Transesophageal Echocardiography and Transthoracic Echocardiography in Patients with Cardio-embolic Cerebral Infarction

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 0

编辑推荐

Metrics

本文评价