超声心动图诊断先天性主动脉瓣畸形的价值  

Value of Echocardiography in the Diagnosis of Congenital Aortic Valve Malformation

作　　者：李崇寿[1] 陈芳芳[2] 李小芳[3] 赵雅萍[1] 吴道珠[1] Li Chongshou;Chen Fangfang;Li Xiaofang(Department of Ultrasound,The Second Affiliated Hoapital of Wenzhou Medical University,Zhejiang 325027,China)

机构地区：[1]温州医科大学附属第二医院超声科,325027 [2]温州医科大学附属第二医院新生儿科,325027 [3]宁波大红鹰学院,315175

出　　处：《医学研究杂志》2018年第8期63-66,共4页Journal of Medical Research

基　　金：浙江省自然科学基金资助项目(LY16H120008)

摘　　要：目的探讨超声心动图在先天性主动脉瓣畸形中的诊断价值。方法应用超声心动图观察主动脉瓣形态结构、主动脉瓣血流动力学变化、合并畸形、左心室及升主动脉的变化。结果 80例患者中,二叶式畸形74例,四叶式畸形4例,单叶式畸形2例;合并主动脉瓣狭窄66例,主动脉瓣关闭不全56例,主动脉瓣钙化50例,升主动脉扩张60例,左心室前后径增大42例,左心室壁增厚58例,合并其他先天性心脏病16例。结论超声心动图可以准确诊断主动脉瓣畸形及其引起的心脏改变及合并畸形,对治疗方案的选择及随访有非常重要的价值。Objective To explore the value of echocardiography in the diagnosis of congenital aortic valve malformation. Methods 0bserving the morphology of deformity of the aortic valve,the hemodynamic changes of the aortic valve, combined malfomations and the changes of the left ventricular and the ascending aorta was performed. Results A total of 80 cases were divided into 74 cases of bicuspid aortic valve（BAV） deformity, 4 cases of quadricuspid aortic valve（QAV） deformity,2 case of monocuspid aortic valve（MAV） deformity.There were 66 cases with aortic stenosis,56 cases with aortic insufficiency,50 cases with aortic valve calcification,60 cases with the ascending aorta dilation,42 cases with anteroposterior diameter of the left ventricle increased,68 cases with left ventricular wall thickened and 16 cases with other congenital heart malfomations. Conclusion Echocardiography can accurately diagnose aortic valve malformation and its change of heart,and the combining malformations,and had a great value on its treatment and follow-up.

关 键 词：主动脉瓣畸形 先天性心脏病 超声心动图 

分 类 号：R8[医药卫生—临床医学]