超声心动图检查诊断退行性心瓣膜病的临床效果分析  

Analysis of the Clinical Effect of Echocardiography in the Diagnosis of Degenerative Valvular Heart Disease

作　　者：陆兆游 陈敬霞 陈新丹 LU Zhaoyou;CHEN Jingxia;CHEN Xindan(Department of Ultrasound,People's Hospital of Gaoyao District,Zhaoqing,Guangdong Province,526040 China)

机构地区：[1]肇庆市高要区人民医院超声科,广东肇庆526040

出　　处：《中外医疗》2021年第9期181-183,共3页China & Foreign Medical Treatment

摘　　要：目的探讨超声心动图检查诊断退行性心瓣膜病的临床效果。方法采用彩色多普勒超声心动图诊断仪对2019年1—12月期间方便选取的该院治疗的390例老年心脏疾病患者进行诊断,对其行多切面探查,观察患者的房室大小、瓣膜形态结构、流返部位和程度,分析超声心动图检查诊断心脏瓣膜病变的情况。结果390例患者中,超声心动图检查共检出80例老年退行性心脏瓣膜病变,排除风湿性或其他感染性瓣膜病,超声检出率为20.51%。其中女性32例,占40.00%;男性48例,占60.00%。80例退行性心脏瓣膜病变患者中,60例为主动脉瓣病变,占75.00%;14例为二尖瓣病变,占17.50%;6例为主动脉瓣合并二尖瓣病变,占7.50%。80例退行性心脏瓣膜病患者的超声心动图检查诊断中,反流程度存在较大差异,主动脉瓣关闭不全24例,均为轻至中度关闭不全,仅呈线状返流,占据左室流出道一部分,每搏返流量≤10 mL;其中有7例合并轻度主动脉瓣口狭窄。其中可见Ⅲ级返流最严重,返流束呈喷泉状,并完全占据左室流出道。结论应用彩色多普勒超声心动图检查诊断退行性心瓣膜病不仅能够直接显示瓣膜钙化的程度及病变部位,还可监测血流动力学改变情况,从而评价瓣膜的功能,因此在临床有重要的诊断价值。Objective To investigate the clinical effect of echocardiography in the diagnosis of degenerative valvular disease.Methods A color Doppler echocardiographic diagnostic instrument was used to diagnose 390 elderly patients with heart disease who were treated in the hospital from January to December 2019 and conveniently selected.Multi-sectional exploration was performed to observe the size of the atrio-compartment of the patient,the shape and structure of the valve,the location and degree of regurgitation,and the diagnosis of heart valve disease by echocardiography.Results Among the 390 patients,80 cases of senile degenerative heart valve disease were detected by echocardiography,excluding rheumatic or other infectious valvular diseases.The ultrasound detection rate was 20.51%.Among them,32 cases were women,accounting for 40.00%;48 cases were men,accounting for 60.00%.Among 80 patients with degenerative heart valve disease,60 had aortic valve disease,accounting for 75.00%;14 cases had mitral valve disease,accounting for 17.50%;6 cases had aortic valve combined with mitral valve disease,accounted for 7.50%.In the diagnosis of 80 patients with degenerative heart valve disease by echocardiography,the degree of regurgitation was quite different.24 cases of aortic regurgitation were mild to moderate regurgitation,only linear regurgitation,occupying the left part of the ventricular outflow tract,the regurgitant flow per stroke≤10 mL;of which 7 cases had mild aortic valve stenosis.Among them,it can be seen that grade III reflux was the most serious,the reflux beam was fountain-like and completely occupied the left ventricular outflow tract.Conclusion Application of color Doppler echocardiography in the diagnosis of degenerative heart valvular disease can not only directly display the degree of valve calcification and the location of the disease,but also monitor the changes in hemodynamics to evaluate the function of the valve.Therefore,it is clinically important,with diagnostic value.

关 键 词：超声心动图检查 诊断 退行性心瓣膜病 主动脉瓣关闭不全 二尖瓣 

分 类 号：R445.1[医药卫生—影像医学与核医学]