慢性风湿性心脏病瓣膜的超声特征及其临床诊断价值  

Ultrasonic characteristics and its diagnostic value of valve in patients with chronic rheumatic heart disease

作　　者：张小丽 Zhang Xiaoli(Department of Ultrasound Medicine,Jincheng People’s Hospital,Jincheng 048000,China)

机构地区：[1]山西省晋城市人民医院超声医学科,048000

出　　处：《中国实用医刊》2021年第19期8-11,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析慢性风湿性心脏病瓣膜的超声特征,探讨其在临床诊断中的价值。方法抽取2015年1月至2020年12月晋城市人民医院收治的慢性风湿性心脏病患者68例,分析其瓣膜的超声心动图特征。结果68例患者病变主要累及二尖瓣、主动脉瓣,其中二尖瓣狭窄占64.71%(44/68),主动脉瓣狭窄占33.82%(23/68)。累及瓣膜超声表现为回声增强,增厚、粘连,室壁增厚等。超声对瓣膜钙化、粘连、混合瓣的检出率为97.06%(66/68)。二尖瓣、三尖瓣瓣膜受损后心脏重构超声相关参数发生明显改变。结论超声对慢性风湿性心脏病瓣膜病变的诊断符合率较高。Objective To analyze the ultrasound characteristics of valve in patients with chronic rheumatic heart disease,and to investigate its diagnostic value.Methods The echocardiographic characteristics of valve in 68 patients with chronic rheumatic heart disease admitted to Jincheng People’s Hospital from January 2015 to December 2020 were analyzed.Results Lesions of the 68 patients mainly involved mitral valve and aortic valve,of which mitral valve stenosis accounted for 64.71%(44/68),and aortic valve stenosis accounted for 33.82%(23/68).The ultrasound of the valve involved showed enhanced echo,thickening,adhesion,and thickening of the ventricular wall.The detection rate of valvular calcification,adhesion and mixed valve by ultrasound was 97.06%(66/68).After the mitral and tricuspid valves were damaged,the ultrasound-related parameters of cardiac remodeling changed significantly.Conclusions Ultrasound has a high diagnostic coincidence rate for chronic rheumatic valvular heart disease.

关 键 词：风湿性心脏病 瓣膜 彩色多普勒超声 二尖瓣狭窄 主动脉瓣狭窄 

分 类 号：R542.5[医药卫生—心血管疾病] R445.1[医药卫生—内科学]