多普勒超声心动图对肥厚型心肌病诊断及预后的评价  

Evaluation of Doppler echocardiography in diagnosis and prognosis of hypertrophic cardiomyopathy

作　　者：张丽华[1] 王岩[1] 王娜[1] 刘斌[2] 

机构地区：[1]武警北京总队第二医院特检科,北京100037 [2]武警北京总队第二医院信息科,北京100037

出　　处：《武警医学》2004年第4期248-250,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的 评价多普勒超声心动图技术在肥厚型心肌病诊断与预后中的价值。方法 对比分析1998年-2002年诊治的28例肥厚型心肌病患者的多普勒超声心动图、CT或核磁共振检查资料、动态心电图和临床表现。结果 与CT或核磁共振检查相比较,多普勒超声心动图诊断肥厚型心肌病符合率89.3％,其中室间隔与左室后壁非对称性肥厚型心肌病诊断符合率100％,左室流出道梗阻诊断符合率100％,局限性肥厚型心肌病诊断符合率57.1％。结论 多普勒超声心动图是无创诊断肥厚型心肌病和评价其预后的有效方法。Objective To evaluate Doppler echocardiography in diagnosis and prognosis fo hypertrophic cardiomyopathy. Methods From 1998 to 2002,28 cases of hypertrophic cardiomyopathy were studied by comparison of Doppler echocardiography, CT, MR1 and clinical findings. Results Compared with CT or MRI, the accuracy in diagnosis of hypertrophic cardiomyopathy by Doppler echocardiography was 89.3 % ; particularly, that of asymmetrical hypertrophy of ventricular septum and posterior wall of left ventricle 100 % , obstructive hypertrophuic cardiomypathy 100% , and regional hypertrophic cardiomyopathy 57.1 % . Conclusion Doppler echocardiography is an effective method in diagnosis of hypertrophic cardiomyopathy.

关 键 词：多普勒超声心动图 肥厚型心肌病 诊断 预后 病理生理 

分 类 号：R542.2[医药卫生—心血管疾病] R540.45[医药卫生—内科学]