Cormier B, Starkman C, Kulas A, Vitoux B, Grimberg D, Enriquez L, Acar J
Service de Cardiologie, Hôpital Tenon, Paris.
Ann Med Interne (Paris). 1989;140(7):561-5.
The authors discuss the clinical utility and feasibility of trans-esophageal echocardiography. Between April and October 1988, 385 examinations were performed in 320 patients (mean age: 54 yr, range: 17-89). In 9 patients (2.4 p. 100), the transesophageal transducer could not be introduced. The only complication was one case of bacteremia without sequela, that occurred early in our use of this technique. Transesophageal echocardiography proved to be useful in the following indications: mitral stenosis (n = 50), mainly by detecting thromboses of the left atrium (n = 5); infectious endocarditis (n = 21), especially for diagnosing aortic ring abscesses (n = 3); severe mitral insufficiency (n = 26), to assess the mechanism of regurgitation and to visualize chordal rupture (n = 13). We conclude from this preliminary study that transesophageal echocardiography is particularly useful in the pathologies described above as a complementary procedure to conventional echocardiography.
作者们讨论了经食管超声心动图的临床实用性和可行性。1988年4月至10月期间，对320例患者（平均年龄：54岁，范围：17 - 89岁）进行了385次检查。9例患者（占2.4%）无法插入经食管换能器。唯一的并发症是1例菌血症，无后遗症，发生在我们早期使用该技术时。经食管超声心动图在以下适应症中被证明是有用的：二尖瓣狭窄（n = 50），主要用于检测左心房血栓（n = 5）；感染性心内膜炎（n = 21），特别是用于诊断主动脉环脓肿（n = 3）；严重二尖瓣关闭不全（n = 26），用于评估反流机制并观察腱索断裂（n = 13）。我们从这项初步研究中得出结论，经食管超声心动图作为传统超声心动图的补充检查，在上述疾病中特别有用。
