CAJ | 학술논문

目的探讨超声心动图在二瓣化主动脉瓣病理生理进展评价中的应用,分析二瓣化主动脉瓣各年龄瓣膜病变的程度.方法回顾性分析135例二瓣化主动脉瓣患者超声资料及病例资料,结合临床资料分析患者病程进展中瓣膜功能的变化.结果二瓣化主动脉瓣关闭不全最常见,本组资料中为68例(50%),单纯狭窄仅19例(14%).狭窄并关闭不全者29例(22%),瓣膜功能正常者19例(14%).各年龄组内主动脉瓣病变均以关闭不全多见.病程晚期的手术患者各年龄组内主动脉病变亦均以关闭不全为主.结论超声心动图能对主动脉瓣的病变作出早期诊断.二瓣化主动脉瓣最常见的瓣膜病变是主动脉瓣关闭不全.
목적 탐토초성심동도재이판화주동맥판병리생리진전평개중적응용,분석이판화주동맥판각년령판막병변적정도.방법 회고성분석135례이판화주동맥판환자초성자료급병례자료,결합림상자료분석환자병정진전중판막공능적변화.결과 이판화주동맥판관폐불전최상견,본조자료중위68례(50%),단순협착부19례(14%).협착병관폐불전자29례(22%),판막공능정상자19례(14%).각년령조내주동맥판병변균이관폐불전다견.병정만기적수술환자각년령조내주동맥병변역균이관폐불전위주.결론 초성심동도능대주동맥판적병변작출조기진단.이판화주동맥판최상견적판막병변시주동맥판관폐불전.
Objective To evaluate the application of echocardiography in the diagnosis of bicuspid aortic valve and its pathophysiologic development and to demonstrate the degree of aortic valve dysfunction. Methods The echocardiographic characteristics and clinical data were analyzed retrospectively in 135 patients with bicuspid aortic valve to demonstrate the variation of aortic valve dysfunction in the progression of the course of the disease. Results Isolated aortic regurgitation was present in 68 (50%) patients, 19 (14%)patients had isolated aortic stenosis and 29 (22%)patients had combined aortic stenosis and regurgitation, 19 (14%) patients had neither stenosis nor regurgitation. Aortic regurgitation were all more commen within each age group, aortic regurgitation were also more commen within each age group in patients in their advanced course who went to surgical treatment. Conclusions Echocardiography is an effective method in the early diagnosis of aortic valve dysfunction.