缺血性心肌病与扩张型心肌病二维彩色多普勒比较分析  

Comparison of the 2D color Doppler between ischemic cardiomyopathy and dilated cardiomyopathy

作　　者：桂新[1] 

机构地区：[1]新乡医学院第三附属医院彩超室,河南省新乡市453003

出　　处：《实用诊断与治疗杂志》2004年第5期373-374,376,共3页Journal of Practical Diagnosis and Therapy

摘　　要：目的 :探讨彩色多普勒超声对缺血性心肌病与扩张型心肌病的鉴别诊断价值。方法 :将 2 1例缺血性心肌病和 31例扩张型心肌病患者的超声检查结果进行比较分析。结果 :室壁局限性变薄及室壁节段性运动异常 ,主动脉瓣区退行性变是缺血性心肌病的超声特征。扩张型心肌病则表现为室壁弥漫性变薄运动弥漫性减弱 ,右房室扩大 ,多瓣膜反流 ,与前者对比有显著性差异。结论Objective To evaluate the diagnostic method of 2D color Doppler between the patients with ischemic cardiomyopathy and dilated cardiomyopathy.Methods The results of 2D color Doppler were compared between 21 patients with ischemic cardiomyopathy and 31 patients with dilated cardiomyopathy.Results Ischemic cardiomyopathy was echocardiographically characterized by the thinning of left ventricle region wall and abnormal motion and aortic regress. And dilated cardiomyopathy was characterized by the diffused thinning of wall, hypokinesis and valvuae regurgitation. Conclusion It is suggested that echocardiography be a simple and valuable method of differential diagnosis of ischemic cardiomyopathy and dilated cardiomyopathy.

关 键 词：缺血性心肌病 扩张型心肌病 二维彩色多普勒 鉴别诊断 

分 类 号：R542.2[医药卫生—心血管疾病]