超声心动图在心肌梗死并发室壁瘤及间隔多发穿孔诊断中的应用价值  

The value of echocardiography in the diagnosis of myocardial infarction complicated with ventricular aneurysm and multiple septal perforation

作　　者：尹雯 YIN Wen(Department of Ultrasound,Ezhou Hospital of Traditional Chinese Medicine,Ezhou,Hubei,436000,China)

机构地区：[1]鄂州市中医医院超声科,湖北鄂州436000

出　　处：《当代医学》2022年第31期112-114,共3页Contemporary Medicine

摘　　要：目的探究超声心动图在心肌梗死并发室壁瘤及间隔多发穿孔诊断中的应用价值。方法选取2017年8月至2019年10月本院收治的90例心肌梗死并发室壁瘤及间隔多发穿孔患者作为研究对象,采用随机数字表法分为两组,各45例。研究组采用彩色多普勒超声心动图检查,对照组仅采用常规心电图检查。比较两组心肌梗死并发室壁瘤及间隔多发穿孔检出率及在侧壁、下壁、前壁及左室心尖部心肌梗死并发室壁瘤及间隔多发穿孔检出情况。结果研究组检出心肌梗死并发室壁瘤及间隔多发穿孔中阳性率为100.00%,高于对照组的66.67%,差异有统计学意义(P<0.05);研究组在侧壁心肌梗死并发室壁瘤及间隔多发穿孔中检出率为31.11%,下壁为26.67%,前壁及左室心尖部为42.22%,对照组分别为26.67%,20.00%,48.48%,两组比较差异无统计学意义。结论超声心动图在心肌梗死并发室壁瘤及间隔多发穿孔诊断中具有较高的诊断效能,其灵敏度、特异度、准确度均较高,检查中可明确室壁瘤位置等信息,为临床诊断及后续治疗提供参考依据。Objective To investigate the value of echocardiography in the diagnosis of myocardial infarction complicated with ventricular aneurysm and multiple septal perforation.Methods 90 patients with myocardial infarction complicated with ventricular aneurysm and multiple septal perforation admitted to our hospital from August 2017 to October 2019 were selected as research subjects,and they were randomly divided into two groups according to random number table method,with 45 cases in each group.The study group was examined by color Doppler echocardiography,while the control group was only examined by routine electrocardiogram.The detection rates of myocardial infarction complicated with ventricular aneurysm and septal perforation were compared between the two groups,and the detection rates of myocardial infarction complicated with ventricular aneurysm and septal perforation in the lateral wall,inferior wall,anterior wall and left ventricular apex were compared.Results The positive rate of myocardial infarction complicated with ventricular aneurysm and septal multiple perforation in the study group was 100.00%,which was higher than 66.67%in the control group,the difference was statistically significant(P<0.05);The detection rate in the study group was 31.11%,26.67%in the inferior wall,42.22%in the anterior wall and left ventricular apex,and 26.67%,20.00%and 48.48%in the control group,respectively.There was no significant difference between the two groups.Conclusion Echocardiography has a high diagnostic efficacy in the diagnosis of myocardial infarction complicated with ventricular aneurysm and multiple septal perforation,and its sensitivity,specificity and accuracy are high,the location of ventricular aneurysm can be identified in the examination,which provides a reference for clinical diagnosis and follow-up treatment.

关 键 词：心肌梗死 室壁瘤 间隔多发穿孔 超声心动图 常规心电图 诊断价值 

分 类 号：R540.45[医药卫生—心血管疾病] R542.22[医药卫生—内科学]