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目的:比较经食道和经胸壁心脏超声在心源性栓塞性脑梗死诊断中应用的价值。方法:抽选在2012年3月至2015年1月在湛江中心人民医院接受治疗的55例患者,分别通过经食道心脏超声、经胸壁心脏超声的方法做诊断,对两种不同诊断方法所得数据结果进行比较。结果:经食道心脏超声检测出的心源性栓塞性脑梗死17例,占30.9%,经胸壁心脏超声检测出的心源性栓塞性脑梗死4例,占7.3%,可见,使用经食道心脏超声对心源性栓塞性脑梗死的检出率要显著高于经胸壁心脏超声的,两组比较,差异具有统计学意义(P<0.05)。经食道心脏超声分别检出8例(14.5%)心房缺损与2例(3.6%)左心房自发声学影像,使用经胸壁心脏超声检测的方法均未检测出。结论:在对心源性栓塞性脑梗死患者的诊断上,使用经食道心脏超声的检测方法较之于经胸壁心脏超声检测更具优势。
Objective: To compare the value of transesophageal and transthoracic echocardiography in the diagnosis of cardioembolic infarction. Methods: 55 patients who were treated in Zhanjiang Central People’s Hospital from March 2012 to January 2015 were selected for transthoracic echocardiography and thoracic echocardiography respectively. The data of two different diagnostic methods The results are compared. Results: 17 cases of cardioembolic cerebral infarction detected by transesophageal echocardiography, accounting for 30.9%, 4 cases of cardioembolic cerebral infarction detected by thoracic wall ultrasonography, accounting for 7.3%. We can see that the use of transesophageal heart The detection rate of cardioembolic cerebral infarction by ultrasound was significantly higher than that of transthoracic echocardiography. There was significant difference between the two groups (P <0.05). Transoral esophageal echocardiography was performed on 8 patients (14.5%) with atrial defect and 2 patients (3.6%) with left atrial spontaneous acoustic imaging respectively. No detection by transthoracic echocardiography was performed. CONCLUSIONS: In the diagnosis of patients with cardioembolic infarction, transesophageal echocardiography is superior to transthoracic echocardiography.