第46卷第10期2023年10月临床医学研究遵义医科大学学报JournalofZunyiMedicalUniversityVol.46No.100ct.2023经胸超声心动图诊断儿童肺动脉异常起源的价值周婕，罗红（四川大学华西第二医院超声科，出生缺陷与相关妇儿疾病教育部重点实验室，四川成都610041）【摘要】目的探讨经胸超声心动图（TTE)对儿童肺动脉异常起源的诊断价值。方法回顾性分析在我院经计算机体层血管成像（CTA）证实为肺动脉异常起源的24例患儿的经胸超声心动图特征。结果24例CTA证实的肺动脉异常起源患儿中,肺动脉吊带12例,右肺动脉起源于主动脉3例,肺动脉缺如9例。TTE诊断21例,误诊3例,包括2例左肺动脉缺如误诊为完全性肺动脉吊带及1例完全性肺动脉吊带误诊为左肺动脉缺如。结论经胸超声心动图在儿童肺动脉异常起源诊断中具有较高的应用价值,但其声像图表现具有一定共性，检查过程中一定要多切面连续扫查以提高检查准确率,同时不要漏掉其他心内畸形。【关键词】经胸超声心动图；计算机体层血管成像；肺动脉异常起源；儿童[中图法分类号］R445.1ThevalueoftransthoracicechocardiographyindiagnosingabnormaloriginofpulmonaryarteryinchildrenZhouJie,LuoHong(DepartmentofUltrasound,WestChinaSecondHospital,SichuanUniversity,KeyLaboratoryofBirthDefectsandRelatedWomenandChildren'sDiseases,MinistryofEducation,ChengduSichuan610041,China)[Abstract]ObjectiveToinvestigatethevalueoftransthoracicechocardiography(TTE)inthediagnosisofab-normaloriginofpulmonaryarteryinchildren.MethodsTotally24childrenwithabnormaloriginofpulmonaryar-teryconfirmedbycomputedtomographyangiogrphyCTAinourhospitalwereselectedasresearchsubjects,andthetransthoracicechocardiographicfeaturesofthemwereanalyzed.ResultsAmongthechildrenwithabnormaloriginofpulmonaryarteryconfirmedbyCTA,therewere12casesofpulmonaryarterysling,3casesofrightpul-monaryarteryoriginatedfromaortaand9casesofpulmonaryarteryabsence.21caseswerediagnosedand3ca-sesweremisdiagnosedbyTTE,including2casesofabsenceofleftpulmonaryarterymisdiagnosedascompletepulmonaryarteryslingand1caseofcompletepulmonaryarteryslingmisdiagnosedasabsenceofleftpulmonaryartery.ConclusionTTEhashighapplicationvalueinthediagnosisofabnormaloriginofpulmonaryarteryinchildren,buttheirson...
