扩张型心肌病与缺血性心肌病55例超声对比分析  

Comparison of the echocardiographic morphology between patients with dilated cardiomyopathy and ischemic cardiomyopathy

作　　者：周跟东[1] 褚俊[1] 丁晓梅[1] 单凤仙[1] 严激[1] 

机构地区：[1]安徽省立医院心内科,合肥230001

出　　处：《安徽卫生职业技术学院学报》2005年第1期36-37,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨扩张型心肌病(DCM)与缺血性心肌病(ICM)的超声鉴别方法。方法:根据冠状动脉造影结果,对比分析30例DCM及25例ICM的超声形态学资料。结果:DCM左室大多呈“球形”,弥漫性室壁运动障碍,心尖部心肌不变薄及EPSS增大较明显为其特点。ICM左室大都是“圆拱门形”,心尖圆钝变薄,节段性室壁运动障碍及矛盾运动,主动脉及根部钙化、主动脉增宽为其特点。结论:超声心动图是对DCM与ICM病人进行鉴别的一种有价值的无创性检查手段。Objective To explore the diagnostic methods of echocardiographic morphology between the patients with dilated cardiomyopathy(DCM)and ischemic cardiomyopathy(ICM).Methods According to the characteristics of the coronary angiography,the echocardiographic findings of 30 patients with DCM and 25 patients with ICM were compared and studied. Results The patients with DCM had global left ventricle dilatation. Diffuse wall motion abnormalities and EPSS improved obviously exhibited normal contractible apex and shortage of LVET.The patients with ICM were characterized by thin spherical apex of left ventricle with hypokinesis,regional wall motion,calcific and dilated aorta.Conclusion Echocardiography is a valuable moninvasive technology of the differential diagnosis of DCM and ICM.

关 键 词：超声心动图 扩张型心肌病 缺血性心肌病 

分 类 号：R445.1[医药卫生—影像医学与核医学] R542.2[医药卫生—诊断学]