首页|右心声学造影与经胸超声检查在诊断卵圆孔未闭中的对比价值分析

右心声学造影与经胸超声检查在诊断卵圆孔未闭中的对比价值分析

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目的:探讨右心声学造影(transthoracic contrast echocardiography,cTTE)在诊断卵圆孔未闭(patent foramen ovale,PFO)中的临床应用价值.方法:回顾性分析2023年3月~2024年1月本院收治53例疑似PFO患者为研究对象,所有患者分别行经胸超声心动图(transthoracic echocardiogram,TTE)、cTTE检查,以cTTE检查结果为"金标准",比较两种检查方法诊断卵圆孔未闭的诊断结果、灵敏度、特异度、准确率及阳性预测值.结果:53例疑似PFO患者中,经TTE诊断阳性38例;经cTTE诊断阳性45例;cTTE检查灵敏度93.33%(42/45)、特异度87.50%(7/8)、准确度92.45%(49/53)、阳性预测值97.67(42/43)均高于TTE检查的77.78%、62.50%、75.47%、92.11%,差异具有统计学意义(P<0.05).结论:右心声学造影在诊断卵圆孔未闭的临床应用中能够提供更为准确和可靠的诊断依据,可以提高诊断准确性.
Comparative Analysis of Right Heart Contrast Echocardiography and Transthoracic Echocardiography in the Diagnosis of Patent Foramen Ovale
Objective:To investigate the clinical value of right transthoracic contrast echocardiography(cTTE)in the diagnosis of patent foramen ovale(PFO).Methods:A total of 53 patients with suspected PFO admitted to our hospital from March 2023 to January 2024 were retrospectively analyzed.All patients underwent transthoracic echocardiogram(TTE)and cTTE examination,and the results of cTTE examination were used as the"gold standard".The diagnostic results,sensitivity,specificity,accuracy and positive predictive value of the two methods were compared.Results:Among the 53 suspected PFO patients,38 were diagnosed with TTE.45 cases were diagnosed by cTTE.The sensitivity,specificity,accuracy and positive predictive value of cTTE were 93.33%(42/45),87.50%(7/8),92.45%(49/53)and 97.67(42/43),respectively,which were higher than those of TTE(77.78%,62.50%,75.47%and 92.11%),and the differences were statistically significant(P<0.05).Conclusion:Contrast echocardiography can provide more accurate and reliable diagnostic basis in the clinical application of patent foramen ovale,which can improve the diagnostic accuracy.

right heart contrast echocardiographypatent foramen ovaletransthoracic echocardiography was performed

刘珊、袁珊、刘贱凤

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泰和县人民医院超声科 (江西 吉安 343700)

右心声学造影 卵圆孔未闭 经胸超声心动图

江西省吉安市指导性科技计划项目

20244-049620

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(16)