感染性心内膜炎赘生物超声心动图诊断的临床研究  

Clinical study on infective endocarditis vegetations transthoracic echocardiography diagnosis

作　　者：黄楠[1] 徐永通[1] 李建华[1] 张红[1] 

机构地区：[1]滨州市人民医院特检科,山东滨州256610

出　　处：《中华医院感染学杂志》2014年第8期1935-1936,1939,共3页Chinese Journal of Nosocomiology

基　　金：山东省卫生厅重点计划基金项目(SW-2010B-029)

摘　　要：目的探讨超声心动图诊断感染性心内膜炎赘生物的临床价值,以期提高临床诊治水平。方法选取2005年1月-2013年4月46例感染性心内膜炎赘生物患者为研究对象,均采用超声心动图检查,所有患者均行手术治疗,手术后对病理产物进行病理诊断,比较经胸超声心动图检查诊断结果和手术病理诊断结果的符合度情况,采用SPSS13.0软件进行分析。结果超声心动图与手术诊断进行比较,总符合率为95.65%,其中1例主动脉瓣+三尖瓣瓣根处有赘生物,超声心动图诊断为右心室结节,另外1例瓣膜脱垂,超声心动图诊断为右冠瓣穿孔。结论超声心动图对感染性心内膜炎赘生物诊断准确率高,作为一种无创的诊断方法,对临床感染性心内膜炎赘生物高危人群具有较高的筛选价值,早确诊、早治疗,提高该类患者的治疗预后具有较高的价值和临床意义。OBJECTIVE To investigate the clinical value of infective endocarditis vegetation by transthoracic echo- cardiographic diagnosis in order to improve the clinical diagnosis and treatment. METHODS From Jan 2005 to Apr 2013, a total of 46 cases of patients with infective endocarditis vegetation were selected as the objects of study. All were examined by transthoracic echocardiography and underwent surgery. After surgery, they had pathological product diagnosis, so as to compare the compliance of transthoracic echocardiography diagnosis and surgical pathology results by SPSS13.0 software. RESULTS The diagnosis and surgery were compared; the total coinci- dence rate was 95.65 %, including one case with vegetations at aortic root and tricuspid valve root; transthoracic echocardiography diagnosis found right ventricular nodules, while another case had valvular prolapse; the tran- sthoracic echocardiography showed the right coronary leaflet perforation. CONCLUSION The transthoracic echo- cardiography has high diagnosis accuracy for the infective endocarditis vegetations. As a noninvasive diagnostic method, it is of a high value in screening clinical infective endocarditis vegetations among high risk population, which enables early diagnosis, early treatment, so as to improve the prognosis of such patients and thus have a high value and clinical significance.

关 键 词：感染性心内膜炎 赘生物 超声心动图 临床诊断 

分 类 号：R542.41[医药卫生—心血管疾病]