摘要：越来越多的先天性心脏病患儿可以存活到成年，且病情变得更加复杂，致使心力衰竭成为大部分40岁以后的成人先天性心脏病(ACHD)患者最主要的死亡原因。超声心动图因其便捷、安全等特点成为临床诊断先天性心脏病的首选方法，其中经食道超声心动图(TEE)可从心后面观察心内部病变，能更加清晰地获取心脏瓣膜、左心耳等结构的图像。随着超声技术的快速发展，实时三维经超声心动图(RT-3D-TEE)提升了TEE在心脏外科手术和介入手术中的地位，现已在国内外成人心脏手术中得到广泛应用。本文主要就TEE在ACHD不同封堵术和球囊扩张术患者术前、术中和术后中的应用进行综述。

    关键词：成人先天性心脏病；经食道超声心动图；心脏介入治疗；封堵术；球囊扩张术

    中图分类号：R714.5" " " " " " " " " " " " " " " " " 文献标识码：A" " " " " " " " " " " " " " " " DOI：10.3969/j.issn.1006-1959.2023.15.041

    文章编号：1006-1959(2023)15-0188-05

    Application Value of Transesophageal Echocardiography in Adult Congenital Heart Disease

    LI Xiao-xia1，2，LI Hong-jun1，YANG Yin1，YANG Li1，FAN Qin3，CHENG Jia-mao3，CHEN Hai-yan1

    (1.Department of Ultrasound，College of Clinical Medicine of Dali University/Department of Ultrasound，Fourth People's Hospital

    of Yunnan Province，Dali 671000，Yunnan，China;

    2.Department of Functional Imaging，Maternal and Child Health Hospital in Dali Prefecture，Dali 671000，Yunnan，China;

    3.Department of Human Anatomy，Basic Medical College of Dali University，Dali 671000，Yunnan，China)

    Abstract：More and more children with congenital heart disease can survive to adulthood ......