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1、实时三维超声心动图在鲁登巴赫综合征联合介入治疗中的应用广东省高州市人民医院超声科，广东高州525200［摘要］目的探讨实时三维超声心动图(real-timethree-dimensionalechocardiography,RT-3DE)在鲁登巴赫综合征联合介入治疗术前、术屮的应用价值。方法对12例确诊鲁登巴赫综合征的患者进行联合介入治疗，在术前应用RT-3DE对房间隔缺损(ASD)及二尖瓣进行观察、测量；术中以RT-3DE指引完成二尖瓣球囊扩张术及ASD封堵术；术前、术后测量的参数有二尖瓣口面积(
2、MVA)、右房左右径(RAD)、肺动脉收缩压(卩A卩s)、二尖瓣反流量(Mi)。结果通过RT-3DE观察，12例鲁登巴赫患者术后ASD封堵器固定，与术前比较，明显扩大，RAD回缩,PAPs下降［分别为(1.80±0.18)cm2比(1.02±0.16)cm2,(40.32±3.lDininth(48.33±3.24)mm,(44.06±9.12)mmHg比(57.57±10.33)mmHg,均P0.05］0结论RT-3DE辅助之下的联合介入术是治疗鲁登巴赫综合征的安全有效的方法。［关键词］三维超声心
3、动图；鲁登巴赫综合征；联合介入治疗［中图分类号］R815［文献标识码］A［文章编号］1673-7210(2014)03(a)-0085-03Applicationofreal-timethree-dimensionalechocardiographyincombinedinterventionaltherapyofLutembacherssyndromeYEFuyongLIANGJunqiangLINXiaochunDepartmentofUltrasound,GaozhouPeople'sHosp
4、ital,Guangdong525200[Abstract]ObjectiveToinvestigatethepreoperativeandintraoperativeclinicalvalueofreal-timethree-dimensionalechocardiography(3DE)inthecombinedinterventionaltherapyoflutembacher'ssyndrome・MethodsCombinedinterventionaltherapywasperformed
5、on12patientswithLutembacherzssyndrome・Beforetheoperations,patients'ASDandmitralvalvewereobservedandmeasuredbymeansofRT-3DE.Duringtheoperation,themitralvalveballondilationandASDclosurewerecompletedwiththeguidanceofRT-3DE.Thepreoperativeandintraoperative
6、statisticsincludedthemitralvalvearea(MVA),rightatriumdiameter(RAD),pulmonaryarterialsystoliepressure(卩APs)andmitralregurgitation(Mi)・ResultsByobservingwithRT-3DE,theASDoccluderdeviceswerefixedinthe12patientswithLutembacherssyndromeafteroperations・Compa
7、redwiththeconditionbeforetheoperations,theirMVAenlargedapparently,RADrebounded,PAPsdecended[respectivelyfrom(1.80土0.18)cm2to(l・02±0・16)cm2,(40.32±3.11)mmto(48.33±3.24)mm,(44.06±9.12)minIlgto(57.57+10.33)mmIlg,P0.05].ConclusionWiththehelpofRT-3DE,combin
8、edinterventionaltherapyisasafeandeffectivewaytotreatLulembacherfssyndrome.[Keywords]Three-dimensionalechocardiography；Lutembacherzssyndrome；Combinedinterventionaltherapy鲁登巴赫综合征（Lutembachersyndrome）指房间隔缺损（ASD）同时合并二尖瓣狭窄（MS）（图1）,鲁登巴赫综合征的手术
