心脏超声对伴有收缩期杂音的左室流出道性疾病的诊断价值  

Diagnostic value of cardiac ultrasound in left ventricular outflow tract disease with systolic murmur

作　　者：任玉菊[1] 杨恒[1] 赵茜[1] Ren Yuju et al(Ultrasonography Department, Liarryungang Second People＇s Hospital, Lianyungang 222000, Chin)

机构地区：[1]江苏省连云港市第二人民医院超声科,222000

出　　处：《齐齐哈尔医学院学报》2017年第14期1656-1657,共2页Journal of Qiqihar Medical University

摘　　要：目的研究心脏超声对伴有胸骨旁收缩期杂音的左室流出道性疾病的诊断价值。方法对我院住院及门诊患者150例听诊有胸骨旁杂音的左室流出道性疾病,均行心脏超声检查做出超声诊断,分组为单纯左室流出道血流速度增快、高血压性肥厚型心肌病、肥厚型梗阻性心肌病、高血压性单纯性室间隔基底段增厚、冠心病心肌梗死伴室间隔基地段增厚,每组30例,分别对上述病例的基本超声测量值:左室舒张末内径(LVD-d)、左房内径(LA-d)、室间隔基底段厚度(IVS)、左室后壁厚度(LVPW-d)、左室流出道血流速度(LVOT-v)进行统计分析。结果各病例组之间LVD-d、LA-d、IVS-d、LVPW-d、LVOT-v值总体上看有统计学意义(P值<0.001),且每两组间进行上述测量值比较亦存在一定的统计学意义。结论心脏超声能对伴有左室流出道源性收缩期杂音的相关疾病做出正确诊断。Objective To investigate the diagnostic value of cardiac ultrasound in left ventricular outflow tract disease accompanied by sternal systolic murmur. Methods An analysis of 150 cases of left ventricular outflow tract diseases in our hospital and outpatient clinic was performed. All cases underwent ultrasonography and were diagnosed, Grouped as left ventricular outflow tract flow rate of hypertension, hypertrophic cardiomyopathy, hypertrophic cardiomyopathy, hypertensive ventricular septal thickening, basal segment of myocardial infarction with ventricular septal thickening. There were 30 cases in each group, the basic ultrasonic measurements were statistically analyzed, included left ventricular end diastolic diameter （LVD-d）, Left atrium diameter （LA-d）, Interventricular septal basal thickness（IVS）, left ventricular posterior wall thickness（LVPW-d）. Results LVD- d, LA-d, IVS-d, LVPW-d and LVOT-v were comparable in each group （P〈 0. 001 ）. Comparing the above measurements between the two groups, there is also a certain comparability. Conclusions Echoca-rdiography can correctly diagnose the diseases associated with left ventricular outflow tract derived systolic murmurs.

关 键 词：左室流出道 收缩期杂音 疾病 超声诊断 

分 类 号：R542.2[医药卫生—心血管疾病]