静脉药瘾者感染性心内膜炎的三维超声回顾性研究  

Retrospective study on infective endocarditis of travenous drug abusers by three-dimentional ultrasound

作　　者：叶富永[1] 梁均强[1] 赖东霞 林晓春[1] 

机构地区：[1]高州市人民医院超声科,广东高州525200

出　　处：《中国临床医学影像杂志》2016年第4期257-259,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:回顾分析右心感染性心内膜炎的三维超声特征,为静脉药瘾所致感染性心内膜炎的诊断提供参考。方法:回顾70例感染性心内膜炎的三维超声图像,分析与静脉药瘾史(14例)相关的右心感染性心内膜炎的发病情况,及三维超声诊断右心赘生物(22例)的价值。结果:14例静脉药瘾者与56例非静脉药瘾者发病情况比较,前者右心感染性心内膜炎9例,后者14例,两者比较P<0.05,差异有统计学意义;检查22例经手术证实的右心赘生物,二维超声与三维超声检查结果比较P<0.05,差异有统计学意义。结论:在诊断与静脉药瘾史相关的右心感染性心内膜炎时,三维超声是二维超声有益的补充。Objective： To analyze the three-dimentional ultrasonic features of right heart infective endocarditis（RHIE） and provide reference for the diagnoses of infective endocarditis caused by travenous injections. Methods： Seventy three-dimentional ultrasonic images of infective endocarditis were reviewed. The prevalence of RHIE related to travenous injections（14 cases） and the value of right heart vegetations diagnosed by three-dimentional ultrasound（22 cases） were analyzed. Results： The prevalence of 14 travenous drug abusers and 56 non-travenous drug abusers compared, 9 of the former and 14 of the latter suffered from RHIE（P0.05）. There were significant differences between them; twenty-two cases which confirmed as right heart vegetations by operations were examined respectively by two-dimentional ultrasound and three-dimentional ultrasound（P0.05）.Conclusion： While the diagnoses of infective endocarditis caused by travenous injections was diagnosed, three-dimentional ultrasound is a necessary supplement to two-dimentional ultrasound.

关 键 词：心内膜炎 物质相关性障碍 超声检查 

分 类 号：R542.41[医药卫生—心血管疾病] R445.1[医药卫生—内科学]